Individual
LEAH TOSHINA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1055 N 500 W BLDG A, PROVO, UT 84604
(801) 812-5033
(801) 812-5034
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11515194-1206
UT
Other
Enumeration date
10/11/2018
Last updated
11/27/2023
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