Sydney Young
Student in an Organized Health Care Education/Training Program in Desoto, MO. Individual provider (NPI-1).
NPI number1013786342
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1013786342
- Entity type
- Individual (NPI-1)
- Name
- Sydney Young
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2023
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5000 Remington RdDesoto, MO 63020
Phone 636-543-1134
Mailing address
5000 Remington RdDesoto, MO 63020
Phone 636-543-1134
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