Individual
LASHEVA M GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 W OAK AVE, GLEN ULLIN, ND 58631-7321
(701) 989-8226
Mailing address
606 W OAK AVE, GLEN ULLIN, ND 58631-7321
(701) 989-8226
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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