Individual
SHANA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 528-1359
Mailing address
11 DOWNING ST, WEST HARTFORD, CT 06110-2113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100513
CT
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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