Individual
DIANA GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
1251 E SOUTHERN AVE, TEMPE, AZ 85282-5605
(480) 839-3402
Mailing address
445 S DOBSON RD, APT 3090, MESA, AZ 85202-1825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1320
AZ
2255A2300X
Athletic Trainer
Primary
AT4868
TX
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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