Individual
DAVELL D GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 496-0996
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 496-0996
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-FVBCY
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/01/2022
Last updated
05/25/2023
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