Individual
MR. LEON DWAYNE GALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8762 HIGHWAY 182, OPELOUSAS, LA 70570-5603
(337) 942-2005
Mailing address
8762 HIGHWAY 182, OPELOUSAS, LA 70570-5603
(337) 942-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04992
LA
Other
Enumeration date
09/28/2006
Last updated
07/22/2016
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