Individual
CLAIRE M'LYNN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
309 E LOGAN ST, CALDWELL, ID 83605-4863
(208) 455-0678
Mailing address
8431 W PEMBROOK DR, BOISE, ID 83704-4354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MAS-3060
ID
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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