Individual
MR. BRENT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(860) 986-1063
Mailing address
500 BISHOP GATE LN APT 1214, JACKSONVILLE, FL 32204-4175
(860) 986-1063
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002198
CT
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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