Individual
RAFAEL GALLEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
551 NW 42ND AVE APT 109, PLANTATION, FL 33317-2168
(954) 534-2824
Mailing address
551 NW 42ND AVE APT 109, PLANTATION, FL 33317-2168
(954) 534-2824
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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