Individual
ANDREW GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
1000 N PASEO DE ONATE, ESPANOLA, NM 87532-2683
(505) 983-6158
(505) 983-0460
Mailing address
PO BOX 449, TESUQUE, NM 87574-0449
(505) 983-6158
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NM
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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