Individual
MRS. DOMINIQUE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31095 WELLINGTON DR APT 31303, NOVI, MI 48377-1097
(313) 694-5835
Mailing address
31095 WELLINGTON DR APT 31303, NOVI, MI 48377-1097
(313) 694-5835
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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