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Individual

ALYCIA GALLEGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 865-4618
Mailing address
1601 CASSANDRA LN, BELEN, NM 87002-7067
(505) 264-4309

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70258
NM

Other

Enumeration date
10/24/2022
Last updated
09/04/2024
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