Individual
IXAH XOCHITL GONZALEZ GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 405-1320
Mailing address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 405-1320
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1636265
CO
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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