Individual
MARYSSA ARYANA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC 08 4700, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-3414
Mailing address
7401 CRIPPLE CREEK RD NW, ALBUQUERQUE, NM 87114-3536
(575) 313-0849
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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