Individual
JOANNA L LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
Mailing address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1833
NM
175T00000X
Peer Specialist
2132
NM
Other
Enumeration date
08/05/2025
Last updated
05/07/2026
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