Individual
JOSE YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
820 HWY 478, ANTHONY, NM 88021
(505) 882-5101
(505) 882-6127
Mailing address
P.O. BOX 2285, LAS CRUCES, NM 88004
(505) 882-5101
(505) 882-6127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
09/26/2007
Last updated
10/27/2007
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