Provider Demographics
NPI:1124378476
Name:GALLARDO, PERPETUO (INTERPRETER)
Entity Type:Individual
Prefix:MRS
First Name:PERPETUO
Middle Name:
Last Name:GALLARDO
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 39TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-3566
Mailing Address - Country:US
Mailing Address - Phone:360-421-0326
Mailing Address - Fax:
Practice Address - Street 1:1620 39TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-3566
Practice Address - Country:US
Practice Address - Phone:360-421-0326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC9695171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter