Individual
LIDYA PAOLA GALVAN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 N PERIMETER RD, GREAT FALLS, MT 59402-6701
(406) 731-3095
Mailing address
4826 LORRAYNE PL, KLAMATH FALLS, OR 97603-8354
(650) 452-5451
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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