Individual
BLAKE DAVID YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E PARKWAY S, MEMPHIS, TN 38104-5519
(901) 321-3000
Mailing address
811 E 26TH AVE, NEW SMYRNA BEACH, FL 32169-3615
(386) 956-4643
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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