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Individual

MR. THOMAS YUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3800 RESERVOIR ROAD, NW, LL BLES BUILDING, WASHINGTON, DC 20007
(202) 444-2053
(202) 444-0067
Mailing address
3800 RESERVOIR ROAD, NW, LOWER LEVEL BLES BUILDING, WASHINGTON, DC 20007
(917) 572-0994

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R200273
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1026533
DC

Other

Enumeration date
02/08/2013
Last updated
08/06/2014
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