Individual
LEMONT YAZZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(928) 245-2106
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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