Individual
MRS. ELISE JANINE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 396-5292
(703) 396-5297
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002324
VA
363A00000X
Physician Assistant
PA030434
DC
Other
Enumeration date
08/20/2006
Last updated
02/24/2023
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