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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA JEAN GALLEGOS

Active Sole Proprietor

THERESA JEAN GALLEGOS is a Assisted Living Facility healthcare provider located in FLAGSTAFF, Arizona. NPI 1023802204 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · FLAGSTAFF, AZ

Registration Details

NPI Number
1023802204
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2025 (1.3937600681538 yrs)
Last Updated
Apr 4, 2025
License
AL10168H (AZ)
Sole Proprietor
Yes

Practice Information

Address
6915 CHRIS LN
FLAGSTAFF, AZ, 860041228
Browse AZ providers · Browse ZIP 86004
Phone
9288534224
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.