Individual
TIFFANY MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1951 14TH AVE, CAMERON, WI 54822-9795
(715) 418-0373
Mailing address
1951 14TH AVE, CAMERON, WI 54822-9795
(715) 418-0373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17174830
WI
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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