Mentrel Stanley Young DSC.,C.N.S.,C.D.-N.

NPI 1447405915 - Nutritionist - 133N00000X

NPI Details
NPI 1447405915
Gender Male
Enumeration Date 11/24/2008
Last Updated 01/31/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
79 HAWTHORNE ST
BRIDGEPORT CT, 06610-1606, US
Phone (203) 400-1990
Fax
Business Location
79 HAWTHORNE ST
BRIDGEPORT CT, 06610-1606, US
Phone (203) 400-1990
Fax
Toxanomy
Taxonomy Code 133N00000X
License State Connecticut
License Number 000870
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According to our database, Dr. Mentrel Stanley Young DSC.,C.N.S.,C.D.-N. NPI is 1447405915, taxonomy code is 133N00000X and license number is 000870, license state is located at Connecticut. Mentrel Stanley Young DSC.,C.N.S.,C.D.-N. physically located at 79 Hawthorne St, Bridgeport CT, 06610-1606. NPI Number Mentrel Stanley Young DSC.,C.N.S.,C.D.-N. has the Individual type.

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1447405915 NPI number is provided on an as is basis without warranty of any kind. 1447405915 is maintained by the National Plan & Provider Enumeration System. The contents of Mentrel Stanley Young DSC.,C.N.S.,C.D.-N. are for informational purposes only.