Individual
MRS. ASHLEY KAYLA GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1047 LAKE DR, SANTA ROSA, NM 88435-2561
(575) 472-5383
Mailing address
1047 LAKE DR, SANTA ROSA, NM 88435-2561
(575) 472-5383
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
222370322E
NM
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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