Individual
MRS. QIONA LATREASTE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 16TH ST FL 5, SAN FRANCISCO, CA 94158-2545
(415) 476-2538
Mailing address
550 16TH ST FL 5, SAN FRANCISCO, CA 94158-2545
(415) 476-2538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05110
TX
363AS0400X
Surgical Physician Assistant
Primary
PA62096
CA
Other
Enumeration date
03/30/2007
Last updated
04/07/2023
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