| Doctor Name: | GINETTE GALLAGHER |
| NPI Number: | 1407043862 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 329742 |
| Business Practice Address: | 286 So. 16th St San Luis Obispo County Health Department Grover Beach, CA - 93433 |
| Business Phone Number: | 8054737038 |
| Business Fax Number: | |
| Mailing Address: | 286 So. 16th Street, Slo Health Department GROVER BEACH |
| State: | CA |
| Postal Code: | 93433 |
| Phone Number: | 8054737038 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 10/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 329742 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |