Individual
JUSTIN GALLUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3408 MEADOW WOOD LN, CROZET, VA 22932-2207
(804) 307-7193
Mailing address
3408 MEADOW WOOD LN, CROZET, VA 22932-2207
(804) 307-7193
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
—
VA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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