Individual
PETRA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1602 DRAYTON ST, SAVANNAH, GA 31401-7526
(912) 651-2116
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN087480
GA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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