Individual
MR. TUCKER YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 PONDEROSA AVE NE, ALBUQUERQUE, NM 87110
(505) 881-8982
(505) 872-0392
Mailing address
P.O. BOX 35101, ALBUQUERQUE, NM 87176
(505) 298-1700
(505) 298-1900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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