Individual
BENNIE DARAHL GALLEGOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2845 SOLANO DR NE, ALBUQUERQUE, NM 87110-2837
(505) 718-8473
Mailing address
2845 SOLANO DR NE, ALBUQUERQUE, NM 87110-2837
(505) 718-8473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59530
NM
Other
Enumeration date
03/02/2020
Last updated
06/08/2023
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