Individual
DIANA KWEILING YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 4TH ST N, ST PETERSBURG, FL 33703-6114
(727) 822-6896
Mailing address
1200 COUNTRY CLUB DR APT 4505, LARGO, FL 33771-2181
(727) 249-4200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS36857
FL
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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