Individual
SANDRA KAY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 E OAK ST, SCOTTSDALE, AZ 85257-2037
(480) 484-3611
(480) 484-3601
Mailing address
4064 W SHANNON ST, CHANDLER, AZ 85226-2192
(480) 893-2883
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN052075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
626666
AHCCCS
AZ
Enumeration date
01/25/2007
Last updated
07/08/2007
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