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Individual
MRS. TERESA A & TERESA YOUNG
Active
Individual
MRS. TERESA A & TERESA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSP
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
DC
172A00000X
Driver
MD-10272162541
MD
207Q00000X
Family Medicine Physician
TME00001375
MD
372600000X
Adult Companion
Primary
—
DC
374U00000X
Home Health Aide
TME00001375
DC
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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