Individual
EDLYNE MARIE GALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PCCN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
29907 CAPSTONE WALK, FAIR OAKS RANCH, TX 78015-2116
(210) 394-9881
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
886651
TX
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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