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Individual

ADENA SUK WAI YAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
JUNCTION OF HIGHWAY 371 AND ROUTE 9 (#358), CROWNPOINT, NM 87313
(505) 786-6344
Mailing address
PO BOX 920, CROWNPOINT, NM 87313-0920

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8464
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00
N/A
Enumeration date
08/13/2019
Last updated
08/13/2019
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