Individual
MARY YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7210 S 27TH WAY, PHOENIX, AZ 85042
(928) 240-8880
Mailing address
7210 S. 27TH WAY, PHOENIX, AZ 85042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN060916
AZ
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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