Individual
TASEAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5125 FAIRMONT ST APT 1723, ABILENE, TX 79605-3584
(919) 536-2546
Mailing address
5125 FAIRMONT ST APT 1723, ABILENE, TX 79605-3584
(919) 536-2546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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