Individual
JACLYN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 992-4032
Mailing address
294 W BROADWAY, BANGOR, ME 04401-5871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA193028
ME
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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