Individual
MS. VIRGINIA BECENTI YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
300 W NIZHONI BLVD STE A, GALLUP, NM 87301-5766
(505) 722-9470
(505) 722-9570
Mailing address
300 W NIZHONI BLVD STE A, GALLUP, NM 87301-5766
(505) 722-9470
(505) 722-9570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
11-119
AZ
Other
Enumeration date
05/24/2007
Last updated
03/03/2022
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