Individual
SHATONDRICK YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 38TH ST, LUBBOCK, TX 79412-1416
(806) 319-2204
Mailing address
1416 KINGSTON ST, WOLFFORTH, TX 79382-1765
(806) 319-2204
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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