Individual
RYAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6607
Mailing address
MSC09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0237
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/12/2025
Last updated
06/21/2025
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