Individual
LEONDRA GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2491 TANNER LAKE CT, JACKSONVILLE, FL 32221-3866
(904) 465-5183
Mailing address
2491 TANNER LAKE CT, JACKSONVILLE, FL 32221-3866
(904) 465-5183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9365910
FL
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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