Individual
MYRA KATRINA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9215 CORINTHIAN CIR, SACRAMENTO, CA 95826-2501
(916) 598-2517
Mailing address
9215 CORINTHIAN CIR, SACRAMENTO, CA 95826-2501
(916) 598-2517
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D5717150
CA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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