Individual
MRS. CONNIE J GALVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
116 S PALISADE DR, SUITE 104, SANTA MARIA, CA 93454-8904
(805) 349-8972
(805) 349-8958
Mailing address
116 S PALISADE DR, SUITE 104, SANTA MARIA, CA 93454-8904
(805) 349-8972
(805) 349-8958
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
186786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186786
STATE LICENSE NUMBER
CA
Enumeration date
01/17/2007
Last updated
06/09/2015
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