Individual
ALYSHA GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4100 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5901
(505) 462-8520
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2017-0061
NM
Other
Enumeration date
08/13/2017
Last updated
12/03/2024
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