Individual
ANDREA NICHELLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2683 PACIFIC AVE, LONG BEACH, CA 90806-2610
(562) 997-2350
Mailing address
2683 PACIFIC AVE, LONG BEACH, CA 90806-2610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A12045
CA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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