Individual
JORDAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 PEPPERMILL CT, HARTLAND, MI 48353-3146
(248) 707-4796
Mailing address
2331 PEPPERMILL CT, HARTLAND, MI 48353-3146
(248) 707-4796
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
Y520439676427
MI
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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