Individual
GALA YERSHEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7316 CHRISTY AVE NE, ALBUQUERQUE, NM 87109-4023
(505) 270-3065
Mailing address
7316 CHRISTY AVE NE, ALBUQUERQUE, NM 87109-4023
(505) 270-3065
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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