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Individual

REINA GRINE-GALLARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10116 CHAPALA CT NE, ALBUQUERQUE, NM 87111-4920
(505) 410-2885
Mailing address
PO BOX 14044, ALBUQUERQUE, NM 87191-4044
(505) 410-2885

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
09/13/2016
Last updated
09/13/2016
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