Individual
TAMARIS GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1971 E BELTLINE AVE NE STE 106-1409, GRAND RAPIDS, MI 49525-7045
(980) 317-0318
Mailing address
1971 E BELTLINE AVE NE STE 1061409, GRAND RAPIDS, MI 49525-7045
(980) 317-0318
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
246RM2200X
Medical Laboratory Technician
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
246ZC0007X
Surgical Assistant
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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