Individual
M JEAN GALLACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 N BOUNDARY AVE, MATTAWA, WA 99349-5132
(509) 932-4477
Mailing address
22889 ROAD P.8 SW, MATTAWA, WA 99349-5001
(509) 840-3353
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60952115
WA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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