Individual
MATAI YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 HASLER VALLEY ROAD, GALLUP, NM 87301
(505) 413-3447
Mailing address
2105 HASLER VALLEY ROAD, GALLUP, NM 87301
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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