Individual
SANDRA RALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1886 EAST ARABIAN DRIVE, GILBERT, AZ 85296
(480) 635-6547
Mailing address
1886 E ARABIAN DR, GILBERT, AZ 85296-3217
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4061
AZ
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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