Individual
KENEISIA SMART-GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-4927
(360) 929-0489
Mailing address
PO BOX 131, LA CONNER, WA 98257-0131
(619) 920-2665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61277119
WA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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