Individual
BRETT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WT
Contact information
Practice address
275 N EL CIELO RD, PALM SPRINGS, CA 92262-6972
(760) 320-4122
(760) 323-4823
Mailing address
275 N EL CIELO RD, PALM SPRINGS, CA 92262-6972
(760) 320-4122
(760) 323-4823
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
AT1219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT1219
LICENSE
CA
Enumeration date
01/16/2009
Last updated
01/16/2009
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