Individual
EVA GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4023 COLONIAL AVE, LOS ANGELES, CA 90066-4910
(323) 223-3614
Mailing address
2232 CHARLOTTE AVE, ROSEMEAD, CA 91770-3625
(626) 571-0708
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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