Individual
MRS. ANGELA RENEE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1687 COOK RD, LUCASVILLE, OH 45648-8530
(740) 352-5589
Mailing address
1084 ARION RD, MC DERMOTT, OH 45652-9022
(740) 372-0584
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2656657
—
OH
Enumeration date
04/17/2007
Last updated
07/09/2007
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