Individual
VANESSA DIANE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25277 STEPHEN RD, OAKWOOD VILLAGE, OH 44146-6241
(216) 666-0888
Mailing address
25277 STEPHEN RD, OAKWOOD VILLAGE, OH 44146-6241
(216) 666-0888
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RS974945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378320
—
OH
Enumeration date
12/16/2022
Last updated
12/16/2022
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