Provider Demographics
NPI:1114749926
Name:GALLOWAY-FOSTER, RAYNETTE S
Entity type:Individual
Prefix:
First Name:RAYNETTE
Middle Name:S
Last Name:GALLOWAY-FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4363 COBLE GLEN LN
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-7754
Mailing Address - Country:US
Mailing Address - Phone:614-517-4121
Mailing Address - Fax:
Practice Address - Street 1:4363 COBLE GLEN LN
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-7754
Practice Address - Country:US
Practice Address - Phone:614-517-4121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide