Individual
MR. DAVID FERMIN GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6301 HIGHWAY 28, ANTHONY, NM 88021-8597
(505) 882-6336
Mailing address
1933 SANTA INEZ, LAS CRUCES, NM 88011-4160
(505) 532-8080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
196
NM
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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