| NPI | 1528883592 |
|---|---|
| Other Name | SAM GALLARDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-05-15 |