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Individual

LINDA ANN GALANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
100 CASA STREET, SUITE B, SAN LUIS OBISPO, CA 93405-1818
(805) 242-0614
(805) 457-1550
Mailing address
117 WEST BUNNY AVENUE, SANTA MARIA, CA 93458-2805
(805) 242-0614
(805) 457-1550

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6628
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
364928
RN LICENSE #
CA
01
6628
NP LICENSE #
CA
01
CB234327
MEDICARE ID
CA
Enumeration date
06/02/2008
Last updated
11/06/2015
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