Individual
DR. MENTREL STANLEY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSC.,C.N.S.,C.D.-N.
Contact information
Practice address
79 HAWTHORNE ST, BRIDGEPORT, CT 06610-1606
(203) 400-1990
Mailing address
79 HAWTHORNE ST, BRIDGEPORT, CT 06610-1606
(203) 400-1990
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000870
CT
Other
Enumeration date
11/24/2008
Last updated
01/31/2011
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