Individual
MARCELLA LATRESE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5604 FAIR OAK CT, ORLANDO, FL 32808-3430
(321) 795-8136
Mailing address
5604 FAIR OAK CT, ORLANDO, FL 32808-3430
(321) 795-8136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5225484
FL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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