Individual
ALEECE RENEE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 382-5340
Mailing address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 382-5340
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
WA
Enumeration date
10/05/2020
Last updated
10/05/2020
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