Individual
MS. JANICE DENISE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
3852 E 142ND STREET, CLEVELAND, OH 44128
(216) 561-3432
Mailing address
4936 CAROLINE DR, 15, WARRENSVILLE HTS, OH 44128
(216) 323-3904
(216) 581-7718
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN78803
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2234880
—
OH
Enumeration date
10/05/2007
Last updated
10/05/2007
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