Individual
MAKEDA NAOMI YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4935 SOUTHFRONT RD STE C, LIVERMORE, CA 94551-9829
(209) 684-5716
Mailing address
936 WINDSAIL LN, STOCKTON, CA 95206-6213
(209) 684-5716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75473
CA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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