Individual
MICHELLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
74 LAUREL PL, BRIDGEPORT, CT 06604-1716
(347) 528-3059
Mailing address
74 LAUREL PL, BRIDGEPORT, CT 06604-1716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
261913
NY
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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