Individual
MS. MARITZA GALLEGOS-MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
Mailing address
9720 PEMBERTON CROSSING DR, RICHMOND, VA 23294-5345
(804) 447-4816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001208734
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
084214
VA
Other
Enumeration date
01/27/2010
Last updated
02/18/2015
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