Individual
DIANA S YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 AVENUE P, MATAMORAS, PA 18336-1427
(845) 282-4117
Mailing address
101 AVENUE P, MATAMORAS, PA 18336-1427
(845) 282-4117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326318-1
NY
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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