Most Relevant Information
Provider Data
| NPI Number: | 1003583048 |
| Provider Name: | LAURA MARIA GARCIA GALLO |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2021 |
| Last Updated: | 08/26/2021 |
Provider Practice Location
6379 CANYON DAWN AVE
LAS VEGAS
NV
891080801
Practice Location Phone/Fax
| Phone: | 7024172987 |
| Fax: |
Provider Mailing Location
4348 LA JARA DR
LAS VEGAS
NV
89120
Provider Mailing Phone/Fax
| Phone: | 7026898670 |
| Fax: |