Individual
LISA PARIS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
415 T ST, PORT TOWNSEND, WA 98368-3527
(360) 393-0993
Mailing address
415 T ST, PORT TOWNSEND, WA 98368-3527
(360) 393-0992
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000033517
WA
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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