Individual
KELLY GALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3051 COMMERCE DR STE 5, FORT GRATIOT, MI 48059-3866
(810) 385-4463
Mailing address
1518 CARLETON ST, PORT HURON, MI 48060-4218
(810) 987-2820
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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