Individual
MARISSA M GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 SAN MATEO LN NE APT 370, ALBUQUERQUE, NM 87109-2462
(505) 975-4976
Mailing address
4801 SAN MATEO LN NE APT 370, ALBUQUERQUE, NM 87109-2462
(505) 975-4976
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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