Individual
MARIA GABRIELLE GALLANOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4116 FIELDSTONE RD, CHAMPAIGN, IL 61822-8801
(317) 369-8574
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041523872
IL
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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