Individual
TWANNETTE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 PITKIN ST, HIGHLAND PARK, MI 48203-3737
(313) 865-1500
Mailing address
4335 BUCKINGHAM AVE, DETROIT, MI 48224-3540
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128808
MI
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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