Provider Demographics
NPI:1235965237
Name:GALARZA, GABRIELLE ROXANNE
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ROXANNE
Last Name:GALARZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GABY
Other - Middle Name:ROXANNE
Other - Last Name:GALARZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5270 SPRING BEAUTY CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1042
Mailing Address - Country:US
Mailing Address - Phone:614-551-8300
Mailing Address - Fax:
Practice Address - Street 1:5270 SPRING BEAUTY CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1042
Practice Address - Country:US
Practice Address - Phone:614-551-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTM800832374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide