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Individual

DR. AMANDA ROACH YANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6100 PAN AMERICAN FREEWAY NE STE 200, FAMILY MEDICINE, ALBUQUERQUE, NM 87109-3401
(505) 823-8282
(505) 823-8275
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2022-1203
NM

Other

Enumeration date
04/30/2019
Last updated
05/06/2024
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