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NPI Code Detail

MEDICARE: VANESSA GALLEGOS

MEDICARE: VANESSA GALLEGOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1124906326
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA GALLEGOS
Provider Business Mailing Address
First Line : 1721 S SANTA CLARA ST
Second Line :
City : DEMING
State : NM
Zip : 88030-6041
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1419 S SANTA BARBARA ST
Second Line :
City : DEMING
State : NM
Zip : 88030-5361
Country : US
Telephone Number : 575-936-4227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 08/25/2025

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Directions to “ VANESSA GALLEGOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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