Individual
PATRICIA GENTRY-YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1928 E HIGH ST, SPRINGFIELD, OH 45505-1228
(937) 324-4301
(937) 324-4305
Mailing address
1928 E HIGH ST, SPRINGFIELD, OH 45505-1228
(937) 324-4301
(937) 324-4305
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
693597
OH
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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