Individual
ANGIE R YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
7501001553
Contact information
Practice address
10907 96TH AVE, WEST OLIVE, MI 49460-9646
(616) 848-6219
Mailing address
10907 96TH AVE, WEST OLIVE, MI 49460-9646
(616) 848-6219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001553
MI
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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