Individual
KATHERINE GALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
515 BLACKHAWK DR, NEWBURY PARK, CA 91320-4805
(310) 848-3020
Mailing address
515 BLACKHAWK DR, NEWBURY PARK, CA 91320-4805
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95038163
CA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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