Individual
XING YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80B VETERANS BLVD, ACOMA, NM 87034
(505) 552-5395
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03578200
NM
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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