Individual
PHYLLIS YARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 RANCHOS ELEMENTARY, RANCHOS DE TAOS, NM 87557
(575) 779-5909
Mailing address
643 LAS TUSAS, RANCHOS DE TAOS, NM 87557
(575) 779-5909
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R66164
NM
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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