Individual
MICHELLE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6666 4TH ST NW STE D, LOS RANCHOS, NM 87107-6144
(505) 463-0472
Mailing address
6666 4TH ST NW STE D, LOS RANCHOS, NM 87107-6144
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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