Individual
LATARRAN D YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 PINE ST, HATTIESBURG, MS 39402-3642
(601) 325-0887
Mailing address
25 PINE ST, HATTIESBURG, MS 39402-3642
(601) 325-0887
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/31/2020
Last updated
09/01/2020
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