Maryssa Aryana Young
Student in an Organized Health Care Education/Training Program in Albuquerque, NM. Individual provider (NPI-1).
NPI number1649934563
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1649934563
- Entity type
- Individual (NPI-1)
- Name
- Maryssa Aryana Young
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2021
- Certification date
- Oct 18, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
Msc 08 4700, 1 University Of New MexicoAlbuquerque, NM 87131-0001
Phone 505-272-3414
Mailing address
7401 Cripple Creek Rd NwAlbuquerque, NM 87114-3536
Phone 575-313-0849
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