Individual
MR. JIMMY DEWAYNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
466 NORTHFIELD RD STE LL1, BEDFORD, OH 44146-2289
(440) 232-1330
Mailing address
10616 WOODLAND AVE # B, CLEVELAND, OH 44104-2436
(216) 924-3071
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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