Individual
HEATHER MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NC60001082
Contact information
Practice address
3704 WALES LN SE, LACEY, WA 98503-8025
(360) 972-5989
Mailing address
3704 WALES LN SE, LACEY, WA 98503-8025
(360) 972-5989
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3747A0650X
WA
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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