person
Jose Luis Gallardo
Student in an Organized Health Care Education/Training Program in Rockford, Illinois
NPI 1578127007

Jose Luis Gallardo is a Student in an Organized Health Care Education/Training Program based in Rockford, IL. Jose Luis Gallardo practices in Rockford, IL. The NPI Number for Jose Luis Gallardo is 1578127007 and holds a License No. (Illinois).

The current practice location address for Jose Luis Gallardo is 2133 Oxford St, Rockford, IL and can be reached out via phone at 813-735-0399.

Location: 2133 Oxford St, Rockford, IL, 61103-4160
person
Provider Profile Details
NPI Number
1578127007
Provider Name
Jose Luis Gallardo
Credential
Provider Entity Type
Individual
Gender
Male
Address
2133 Oxford St, Rockford, IL, 61103-4160
Phone Number
813-735-0399
Fax Number
Provider Enumeration Date
04/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2133 Oxford St
City
State
Zip
61103-4160
Phone Number
813-735-0399
Fax Number
person
Provider Business Mailing Address Details
Address
2133 Oxford St
City
State
Zip
61103-4160
Phone Number
813-735-0399
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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