Individual
DR. WESLEY S YOUNGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR.P.H.
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 647-4520
(671) 648-2557
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 647-4520
(671) 648-2557
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NUT000001
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUT000001
GU BOARD OF ALLIED HEALTH
GU
Enumeration date
03/26/2007
Last updated
01/23/2008
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