Individual
MARLENA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS CERTIFICAT
Contact information
Practice address
20141 BRAMFORD ST, DETROIT, MI 48234-3201
(678) 615-5908
Mailing address
20141 BRAMFORD ST, DETROIT, MI 48234-3201
(678) 615-5908
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
2701351689
MI
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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