Individual
YOHTA NAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 5TH ST STE 100, SANTA FE, NM 87505-5403
(505) 955-0410
Mailing address
1911 5TH ST STE 100, SANTA FE, NM 87505-5403
(505) 955-0410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35588519-6630050
—
NM
Enumeration date
08/18/2022
Last updated
08/18/2022
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