Individual
ANTON FEDOROVICH GALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20109 21ST CT NE, SHORELINE, WA 98155-1311
(206) 455-4636
(206) 366-2810
Mailing address
20109 21ST CT NE, SHORELINE, WA 98155-1311
(206) 455-4636
(206) 366-2810
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2014
Last updated
02/06/2015
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