Individual
YAHNANBAH MAGGIE VINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
838 W DIDIER AVE, BELEN, NM 87002-3160
(505) 312-0040
Mailing address
838 W DIDIER AVE, BELEN, NM 87002-3160
(505) 312-0040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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