Angelique Cornwell Young RD, LD

NPI 1730505140 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1730505140
Gender Female
Enumeration Date 03/10/2014
Last Updated 03/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
908 SAINT MARK DR
MURPHY TX, 75094-5120, US
Phone (972) 423-1712
Fax
Business Location
908 SAINT MARK DR
MURPHY TX, 75094-5120, US
Phone (972) 423-1712
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Texas
License Number DT83119
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According to our database, Ms. Angelique Cornwell Young RD, LD NPI is 1730505140, taxonomy code is 133V00000X and license number is DT83119, license state is located at Texas. Angelique Cornwell Young RD, LD physically located at 908 Saint Mark Dr, Murphy TX, 75094-5120. NPI Number Angelique Cornwell Young RD, LD has the Individual type.

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1730505140 NPI number is provided on an as is basis without warranty of any kind. 1730505140 is maintained by the National Plan & Provider Enumeration System. The contents of Angelique Cornwell Young RD, LD are for informational purposes only.