Individual
MRS. DACIA LORRAINE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5120 STETTIN DR, WAUSAU, WI 54401-3824
(715) 551-6827
Mailing address
3101 POLZER DR, WAUSAU, WI 54401-4133
(715) 892-5569
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2333-08
WI
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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