Individual
APRIL D YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
917433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03/09/1975
DATE OF BIRTH
VA
Enumeration date
08/01/2006
Last updated
03/17/2018
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