Individual
JACKSON WRIGHT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
340 W MAIN ST # 122, TREMONTON, UT 84337-1210
(801) 643-5057
Mailing address
340 W MAIN ST # 122, TREMONTON, UT 84337-1210
(801) 643-5057
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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