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NPI Code Detail

MEDICARE: REBECA GALLO RN

MEDICARE: REBECA GALLO RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95156101CA

General Provider Information

NPI Number : 1568298875
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECA GALLO RN
Provider Business Mailing Address
First Line : 40 PARK CITY CT APT 5203
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-6102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3037 BRYANT PL
Second Line :
City : DAVIS
State : CA
Zip : 95618-1613
Country : US
Telephone Number : 530-400-9752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2024
Last Update Date : 09/12/2024

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