Individual
COTIE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 483-3030
Mailing address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 483-3030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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