Provider Demographics
NPI:1295592095
Name:GALOPE, RICHARD GLEN ENRIQUEZ SR
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:GLEN ENRIQUEZ
Last Name:GALOPE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2228 BRUNDAGE LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-2704
Mailing Address - Country:US
Mailing Address - Phone:844-748-8387
Mailing Address - Fax:
Practice Address - Street 1:2228 BRUNDAGE LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2704
Practice Address - Country:US
Practice Address - Phone:844-748-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker