Individual
BRENDA L YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 SAINT GENEVIEVE DR, LEANDER, TX 78641-2054
(847) 772-8807
Mailing address
3313 SAINT GENEVIEVE DR, LEANDER, TX 78641-2054
(847) 772-8807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT114170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97124
INSURANCE
TX
Enumeration date
09/15/2020
Last updated
09/15/2020
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