Individual
MICHELLE R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
(217) 277-2253
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
(217) 277-2253
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
096391
IA
133V00000X
Registered Dietitian
Primary
164004672
IL
133V00000X
Registered Dietitian
2007027443
MO
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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