Individual
KYISH R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5324 HOLLYRIDGE ST, NORTH LAS VEGAS, NV 89081-4000
(510) 798-8205
Mailing address
5324 HOLLYRIDGE ST, NORTH LAS VEGAS, NV 89081-4000
(510) 798-8205
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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