Individual
CRYSTAL DIONNA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1526 BELMAR RD, EAST CLEVELAND, OH 44118-1123
(216) 322-2152
Mailing address
1526 BELMAR RD, EAST CLEVELAND, OH 44118-1123
(216) 322-2152
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.132289-M-IV
OH
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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