Individual
LUCINDA ERCELLIA GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 BONFORTE BLVD, PUEBLO, CO 81001-1759
(719) 994-2091
(719) 717-3500
Mailing address
1907 BONFORTE BLVD, PUEBLO, CO 81001-1759
(719) 994-2091
(719) 717-3500
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
CO
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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