Individual
MRS. LYNETTE GALLOWAY BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N. P/
Contact information
Practice address
VIRGINIA STATE UNIVERSITY STUDENT HEALTH, 1 HAYDEN DRIVE, PETERSBURG, VA 23806-0001
(804) 524-5671
(804) 524-5026
Mailing address
5901 HARBOUR HILL PL, MIDLOTHIAN, VA 23112-2123
(804) 739-9148
(804) 232-0272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024053272
VA
Other
Enumeration date
10/06/2008
Last updated
02/26/2009
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