Provider Demographics
NPI:1316058365
Name:PFEUFFER, YUKIE EBARA (MED MS)
Entity type:Individual
Prefix:MRS
First Name:YUKIE
Middle Name:EBARA
Last Name:PFEUFFER
Suffix:
Gender:F
Credentials:MED MS
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Mailing Address - Street 1:31313 W COUNTRY CLUB RD
Mailing Address - Street 2:STE 5
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201
Mailing Address - Country:US
Mailing Address - Phone:505-622-4327
Mailing Address - Fax:505-622-0188
Practice Address - Street 1:313 W COUNTRY CLUB RD
Practice Address - Street 2:STE 5
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201
Practice Address - Country:US
Practice Address - Phone:505-622-4327
Practice Address - Fax:505-622-0188
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM144231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM0005483OtherLOVELACE
NM00054882OtherSALUD MOLINA SALUD
NM00054882Medicaid
NM00054882Medicaid
NM00054882OtherSALUD MOLINA SALUD