Individual
ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTC
Contact information
Practice address
8501 ARLINGTON BLVD, SUITE 200, FAIRFAX, VA 22031
(703) 970-6494
Mailing address
8501 ARLINGTON BLVD STE 200, FAIRFAX, VA 22031-4625
(703) 970-6464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002318
VA
246ZC0007X
Surgical Assistant
09-0819
VA
Other
Enumeration date
08/19/2011
Last updated
08/13/2018
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