Individual
MR. ANDREW FRAY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9508 CHANTICLEER CT, LAS VEGAS, NV 89129-7858
(618) 201-7358
Mailing address
9508 CHANTICLEER CT, LAS VEGAS, NV 89129-7858
(618) 201-7358
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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