Individual
TANYA GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 753-7111
Mailing address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01877
NM
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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