MARTIN GALLARDO

SAN PEDRO, CA
NPI1043917776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1495280123)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
MARTIN GALLARDO RADT
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
Mailing Address
MARTIN GALLARDO RADT
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940