Individual
KAYLA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 ROOSEVELT BLVD, ELEANOR, WV 25070
(304) 586-0886
Mailing address
501 ROOSEVELT BLVD, ELEANOR, WV 25070
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0008398
WV
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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