Individual
CAROL LOUISE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
9454 THUNDERBIRD PL, SAN RAMON, CA 94583-3624
(510) 541-8278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
418580
CA
163W00000X
Registered Nurse
Primary
RN418580
CA
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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