Individual
CANDACE LYNN YOUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-7246
(907) 376-9225
Mailing address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-7246
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
103449
AK
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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