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Individual

MS. DEBRA RENA YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN,CCMA, NA

Contact information

Practice address
12234 W DEARBOURN AVE, WAUWATOSA, WI 53226-3842
(414) 839-1363
(414) 800-4213
Mailing address
12234 W DEARBOURN AVE, WAUWATOSA, WI 53226-3842
(414) 839-1363
(414) 800-4213

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043133699
IL
164W00000X
Licensed Practical Nurse
824688
MN
164X00000X
Licensed Vocational Nurse
325641
WI
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
187357
WI

Other

Enumeration date
10/02/2017
Last updated
09/27/2023
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