Individual
CAROLINE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1704 WINDSOR WAY, CLOVIS, NM 88101-8625
(575) 309-5356
Mailing address
1704 WINDSOR WAY, CLOVIS, NM 88101-8625
(575) 309-5356
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R60473
NM
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
R60473
NM
163WS0200X
School Registered Nurse
Primary
R60473
NM
Other
Enumeration date
05/30/2019
Last updated
03/13/2024
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