Individual
JUSTINE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-8244
Mailing address
MSC09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS2022-0444
NEW MEXICO MEDICAL BOARD
NM
Enumeration date
04/11/2022
Last updated
11/20/2024
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