Individual
JACY KAY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1247 E ALLUVIAL AVE STE 112, FRESNO, CA 93720-2686
(559) 298-0321
(559) 298-7164
Mailing address
1247 E ALLUVIAL AVE STE 112, FRESNO, CA 93720-2686
(559) 298-0321
(559) 298-7164
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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