Individual
MR. ALWYN BALTAZAR GALELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN-RN
Contact information
Practice address
255 WHITE TAIL RUN, CORTLAND, OH 44410-2611
(330) 646-7833
Mailing address
255 WHITETAIL RUN, CORTLAND, OH 44410
(330) 646-7833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.379594
OH
225200000X
Physical Therapy Assistant
0441
OH
Other
Enumeration date
07/07/2010
Last updated
08/24/2017
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