LUIS GILMER GALLEGOS MEDINA

ASHBURN, VA
NPI1720663503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: VA  21-170)
Enumeration Date2021-03-13
Last Update Date2021-03-13
Business Address
LUIS GILMER GALLEGOS MEDINA SA-C
44360 SUNSET MAPLE DR
ASHBURN, VA 20147-3890
Phone number: 571-762-9435
Mailing Address
LUIS GILMER GALLEGOS MEDINA SA-C
44360 SUNSET MAPLE DR
ASHBURN, VA 20147-3890
Phone number: 571-762-9435