Individual
DAN GALLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
1 CAMINO ORO CT, TIJERAS, NM 87059-7924
(505) 274-8534
Mailing address
1 CAMINO ORO CT, TIJERAS, NM 87059-7924
(505) 274-8534
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
09/30/2025
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