Individual
ALYSSA CEPEDA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
277 BUDDY GANEM DR STE A, PORTLAND, TX 78374-3202
(361) 777-3900
Mailing address
277 BUDDY GANEM DR STE A, PORTLAND, TX 78374-3202
(361) 777-3900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1047925
TX
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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