Individual
GALAXY LUCIANO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA, PCA
Contact information
Practice address
301 EGGERT ST, TURTLE LAKE, ND 58575-4027
(406) 396-8747
Mailing address
PO BOX 94, TURTLE LAKE, ND 58575-0094
(406) 396-8747
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
510365
NY
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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