Individual
KATRINA J GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 COMER DR, CLOVIS, NM 88101-3463
(505) 400-8611
Mailing address
908 COMER DR, CLOVIS, NM 88101-3463
(505) 400-8611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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