Individual
JEROME GREG GALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11920 LEWISIA AVE, MORENO VALLEY, CA 92557-8638
(951) 965-9587
Mailing address
11920 LEWISIA AVE, MORENO VALLEY, CA 92557-8638
(951) 965-9587
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN210981
CA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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