Individual
JACQUELINE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 RICHMOND AVE, BATAVIA, NY 14020-1227
(585) 297-1235
Mailing address
901 ORIENT ST, MEDINA, NY 14103-1702
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
447007
NY
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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