Individual
MRS. MARY ANGELA CANCINO GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
304 N RICHARDSON AVE, ROSWELL, NM 88201-4639
(575) 578-0069
(575) 578-0124
Mailing address
304 N RICHARDSON AVE, ROSWELL, NM 88201-4639
(575) 578-0069
(575) 578-0124
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
2927
NM
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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