T & A Young L.l.c

NPI 1245531656 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1245531656
Enumeration Date 11/16/2010
Last Updated 11/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TAVARUS DEWAYNE TAVARUS
Position MEMBER/OWNER
Phone (910) 261-9021
Fax
Practice Location
4707 JELYNN ST
RALEIGH NC, 27616-7402, US
Phone (910) 261-9021
Fax
Business Location
4707 JELYNN ST
RALEIGH NC, 27616-7402, US
Phone (910) 261-9021
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1245531656 NPI Number
 

According to our database, T & A Young L.l.c NPI is 1245531656, taxonomy code is 251S00000X T & A Young L.l.c physically located at 4707 Jelynn St, Raleigh NC, 27616-7402. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1245531656 NPI number is provided on an as is basis without warranty of any kind. 1245531656 is maintained by the National Plan & Provider Enumeration System. The contents of T & A Young L.l.c are for informational purposes only.