Individual
MARY LAURETTE GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
13 OPAL COMMONS, ISLAND HOSPITAL, EASTSOUND, WA 98245-9620
(360) 302-0978
(360) 376-5183
Mailing address
13 OPAL COMMONS, EASTSOUND, WA 98245-9620
(360) 302-0978
(360) 376-5183
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN150147
WA
163WP1700X
Perinatal Registered Nurse
RN150147
WA
374J00000X
Doula
RN150147
WA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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