Individual
NICOLE VIRGIEANN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13305 GARDEN STATE DR APT B, NEWPORT NEWS, VA 23602-5712
(757) 570-5078
Mailing address
13305 GARDEN STATE DR APT B, NEWPORT NEWS, VA 23602-5712
(757) 570-5078
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
3256853
VA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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