Individual
WASENTHA AVIF YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 PAULINE BLVD STE B, ANN ARBOR, MI 48103-5047
(734) 741-0695
Mailing address
1945 PAULINE BLVD STE B, ANN ARBOR, MI 48103-5047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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