Individual
CHARLIE RAE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM, CLC
Contact information
Practice address
2746 N FLORIDA AVE, TAMPA, FL 33602-1522
(813) 515-0825
(813) 515-0825
Mailing address
PO BOX 265, SYDNEY, FL 33587-0265
(813) 944-9120
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
MW276
FL
374J00000X
Doula
—
—
Other
Enumeration date
04/29/2010
Last updated
05/26/2021
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