Individual
MRS. SANDRA YAUK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C PED
Contact information
Practice address
6200 COORS BLVD NW, ALBUQUERQUE, NM 87120-2785
(505) 896-0533
(505) 896-0522
Mailing address
6200 COORS BLVD NW, ALBUQUERQUE, NM 87120-2785
(505) 896-0533
(505) 896-0522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06587577
—
NM
05
—
06928773
—
NM
01
—
NM01TA20
BCBSNM
NM
Enumeration date
03/23/2006
Last updated
07/09/2007
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