Individual
JENNIFER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10546 CLAIRDOAN AVE, CLEVELAND, OH 44108-1310
(216) 322-3818
Mailing address
10546 CLAIRDOAN AVE 44108, 3635 E. 61ST 44105, CLEVELAND, OH 44108
(216) 322-3818
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400110640402
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108206
—
OH
Enumeration date
10/28/2014
Last updated
10/28/2014
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