Provider Demographics
NPI:1851769426
Name:GALGUT, TOVA (HOLISTIC HEALTH PRAC)
Entity Type:Individual
Prefix:MS
First Name:TOVA
Middle Name:
Last Name:GALGUT
Suffix:
Gender:F
Credentials:HOLISTIC HEALTH PRAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10791 JAMACHA BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-1831
Mailing Address - Country:US
Mailing Address - Phone:619-660-7510
Mailing Address - Fax:
Practice Address - Street 1:10791 JAMACHA BLVD STE 5
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-1831
Practice Address - Country:US
Practice Address - Phone:619-660-7510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-12
Last Update Date:2015-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA872174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist