Individual
MR. JELANI YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
7662 SW 58TH LN, 233, GAINESVILLE, FL 32608-4578
(352) 575-0873
Mailing address
7662 SW 58TH LN, 233, GAINESVILLE, FL 32608-4578
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT14148
FL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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