Individual
BRENDA LAVONE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1360 RESERVE DR, REYNOLDSBURG, OH 43068-7608
(614) 577-1237
Mailing address
1360 RESERVE DR, REYNOLDSBURG, OH 43068-7608
(614) 577-1237
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 072307
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2227889
—
OH
Enumeration date
11/20/2007
Last updated
11/20/2007
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