Individual
ALLICEN MONTANA FAITH GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 10TH AVE, SIDNEY, NE 69162-1609
(308) 249-6728
Mailing address
3030 11TH AVE, SIDNEY, NE 69162-9600
(720) 486-2663
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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