Individual
GENA GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10877 MIDDLEBURG PLAIN CITY RD, NORTH LEWISBURG, OH 43060-9709
(937) 243-9374
Mailing address
10877 MIDDLEBURG PLAIN CITY RD, NORTH LEWISBURG, OH 43060-9709
(937) 243-9374
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.132668-M-IV
OH
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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