Individual
REGINA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 BYRON ST, RICHMOND, VA 23222-2443
(804) 325-0150
Mailing address
2215 BYRON ST, RICHMOND, VA 23222-2443
(804) 424-3280
(804) 424-3281
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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