JEROME KEITH GALLOWAY

SHREVEPORT, LA
NPI1700246451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  009226335)
Enumeration Date2016-02-23
Last Update Date2016-02-23
Business Address
Mr. JEROME KEITH GALLOWAY
4425 FINLEY DR
SHREVEPORT, LA 71105-3215
Phone number: 318-426-9393
Mailing Address
Mr. JEROME KEITH GALLOWAY
4425 FINLEY DR
SHREVEPORT, LA 71105-3215
Phone number: 318-426-9393
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