Individual
KAYO JUDGE-MIKASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 CHAMBLEE CT NE, ALBUQUERQUE, NM 87111-7242
(505) 400-2331
Mailing address
6109 CHAMBLEE CT NE, ALBUQUERQUE, NM 87111-7242
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1954
NM
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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