Individual
JAMAICA INCE-GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N DUTTON AVE STE 1, SANTA ROSA, CA 95401-7120
(707) 523-2848
Mailing address
122 S WASHINGTON ST, CLOVERDALE, CA 95425-3621
(707) 387-2277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53906
CA
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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