Individual
MARY EVE IRALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2022 E AZTEC AVE, GALLUP, NM 87301-4804
(505) 439-9563
Mailing address
2022 E AZTEC AVE, GALLUP, NM 87301-4804
(505) 439-9563
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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