Individual
JACQUELINE GALLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH
Contact information
Practice address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 600-9180
Mailing address
2309 SANDALWOOD DR, STOCKTON, CA 95210-1649
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37008
CA
Other
Enumeration date
01/28/2025
Last updated
01/25/2026
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