| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CATALINA GALLO-JALIL | 1972191492 | 2021-01-10 |
| Entity Type | Individual |
| Provider Name | Catalina Gallo-jalil RN |
| Practice Office Address | 1738 COMMONWEALTH AVE BRIGHTON, MA US |
| Practice Office Telephone | 9788731895 |
| Mailing Address | 1738 COMMONWEALTH AVE BRIGHTON, MA 021355617 US |
| Business Telephone | 9788731895 |
| Code | License No | State |
|---|---|---|
| 163W00000X PRIMARY | 2343546 | MA |