Individual
MS. JOAN LESLIE YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 BENTLEY ST, OVIEDO, FL 32765-8169
(407) 366-4565
(407) 971-8745
Mailing address
680 BENTLEY ST, OVIEDO, FL 32765-8169
(407) 366-4565
(407) 971-8745
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230328100
—
FL
Enumeration date
04/21/2008
Last updated
04/22/2008
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