Individual
BEN PATRICK YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 STEINBECK WAY APT F, FAIRBORN, OH 45324-8732
(937) 658-4686
Mailing address
1199 STEINBECK WAY APT F, FAIRBORN, OH 45324-8732
(937) 658-4686
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
1871075416
OH
3747P1801X
Personal Care Attendant
1871075416
OH
376J00000X
Homemaker
Primary
1871075416
OH
Other
Enumeration date
08/30/2018
Last updated
05/16/2024
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