Individual
MRS. ANTOINETTE ROSE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-0230
Mailing address
3815 S URAVAN ST, AURORA, CO 80013-3422
(240) 499-6608
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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