Individual
AMY LYNN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 LOBO CANYON RD, GRANTS, NM 87020-2172
(505) 287-8868
Mailing address
24 WESTERN HTS, GRANTS, NM 87020-2180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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