Provider Demographics
NPI:1770274375
Name:GALVE, PRETTNIE JOY ARTILLERO
Entity type:Individual
Prefix:
First Name:PRETTNIE JOY
Middle Name:ARTILLERO
Last Name:GALVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 E PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4707
Mailing Address - Country:US
Mailing Address - Phone:909-674-7994
Mailing Address - Fax:
Practice Address - Street 1:1217 E PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4707
Practice Address - Country:US
Practice Address - Phone:909-674-7994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty