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NPI Code Detail

MEDICARE: RASHELLE L YOUNG IDMT

MEDICARE:   RASHELLE L YOUNG  IDMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11710I1003XIndependent Duty Medical Technicians

General Provider Information

NPI Number : 1902031636
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHELLE L YOUNG IDMT
Provider Business Mailing Address
First Line : PSC 3 BOX 1201
Second Line :
City : APO
State : AP
Zip : 96266-0012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : PSC 3 BOX 1201
Second Line :
City : APO
State : AP
Zip : 96266-0012
Country : US
Telephone Number : 01086725331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2009
Last Update Date : 05/26/2009

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Directions to “ RASHELLE L YOUNG IDMT” Practice Location

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