Jacob Paul Gallardofox
Jacob Paul Gallardofox is a Peer Specialist in Perris, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
450 E San Jacinto AvePerris, CA 92571-2833
Phone: (951) 443-2299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1194438671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 29, 2022 |
| Last updated in NPPES | December 29, 2022 |
| Certification date | December 29, 2022 |
| Mailing address | 44090 Karie Way, Temecula, CA 92592-1464 |
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