Individual
MIKE LEE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHC
Contact information
Practice address
221 STATE HIGHWAY 165, A-4, PLACITAS, NM 87043
(505) 867-0733
(505) 785-0886
Mailing address
221 STATE HIGHWAY 165, A-4, PLACITAS, NM 87043
(505) 867-0733
(505) 785-0886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6838
NM
Other
Enumeration date
09/05/2007
Last updated
08/02/2021
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