Individual
MIRELLA GALVAN-DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
(505) 272-0475
Mailing address
PO BOX 7685, ALBUQUERQUE, NM 87194-7685
(505) 927-4391
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
08/24/2021
Last updated
05/06/2022
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