Individual
VANESSA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2484 MAIN ST, PLANTERSVILLE, MS 38862-5002
(662) 205-4597
(662) 205-4837
Mailing address
2484 MAIN ST, PLANTERSVILLE, MS 38862-5002
(662) 205-4597
(662) 205-4837
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063899326
UNITEDHEALTHCARE
MS
Enumeration date
05/06/2015
Last updated
04/16/2020
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