Individual
DR. ITZI ERANDI SABANERO GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
521 N YOUNG ST, KENNEWICK, WA 99336-7806
(509) 221-5965
Mailing address
PO BOX 4225, WEST RICHLAND, WA 99353-4003
(509) 518-9230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
05/14/2024
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