Individual
MARIO YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7401 HANCOCK CT NE STE B, ALBUQUERQUE, NM 87109-4594
(505) 322-2510
Mailing address
7401 HANCOCK CT NE STE B, ALBUQUERQUE, NM 87109-4594
(505) 553-3206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77098
NM
Other
Enumeration date
12/14/2023
Last updated
12/29/2023
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