Individual
FRANCINE MARIE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 LUNA AVENUE, LOS LUNAS, NM 87031
(505) 866-2440
Mailing address
PO BOX 584, LOS LUNAS, NM 87031-0584
(505) 450-9624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1632
NM
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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