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Individual

ALESSANDRA R YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DAC, DAOM

Contact information

Practice address
4434 S HIGHLAND DR, MILLCREEK, UT 84124-3533
(385) 276-4537
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11997127-1201
UT
171100000X
Acupuncturist
172853
171100000X
Acupuncturist
18817
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119971271201
UTAH
UT
01
18817
CALIFORNIA ACUPUNCTURE BOARD
CA
01
ACU447
IDAHO
ID
01
NCC172853
NCCAOM
Enumeration date
03/11/2020
Last updated
04/21/2026
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