Individual
JESSICA YOUNGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
307 CHURCH ST, SANDPOINT, ID 83864-1344
(330) 618-8273
Mailing address
307 CHURCH ST, SANDPOINT, ID 83864-1344
(330) 618-8273
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-371
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACU-371
ACUPUNCTURE LICENSE
ID
Enumeration date
09/03/2019
Last updated
09/03/2019
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