Individual
THERESA JEAN GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6915 CHRIS LN, FLAGSTAFF, AZ 86004-1228
(928) 853-4224
Mailing address
6915 CHRIS LN, FLAGSTAFF, AZ 86004-1228
(928) 853-4224
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10168H
AZ
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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