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Individual

KATRINA YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
704 LAMPLIGHTER DR APT 5, TROY, MI 48083-1573
(313) 740-8047
Mailing address
704 LAMPLIGHTER DR APT 5, TROY, MI 48083-1573

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704375008
MI
164W00000X
Licensed Practical Nurse
4703117780
MI

Other

Enumeration date
02/09/2018
Last updated
08/09/2021
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