Jacob Paul Gallardofox
NPI #1194438671 in Perris, California
Provider Information
- NPI Number
- 1194438671
- Entity Type
- Individual
- Name
- Jacob Paul Gallardofox
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Dec 29, 2022
- Last Updated
- Dec 29, 2022
Practice Location
- Address
- 450 E SAN JACINTO AVE
- City
- Perris
- State
- California
- ZIP Code
- 92571-2833
- Phone
- (951) 443-2299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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