Individual
GALLE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13745 FELLRATH ST, TAYLOR, MI 48180-4494
(734) 799-3981
Mailing address
13745 FELLRATH ST, TAYLOR, MI 48180-4494
(734) 799-3981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112996
MI
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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