Individual
JUSTICE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MARSHALL ST., APT 506, ROSEBUD, SD 57570
(605) 747-2787
Mailing address
PO BOX 128, ROSEBUD, SD 57570
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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