Youngvax

NPI 1275962623 - Public Health or Welfare - 251K00000X

NPI Details
NPI 1275962623
Enumeration Date 11/06/2013
Last Updated 11/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHAWNDRA SHAWNDRA
Position DIRECTOR
Phone (817) 703-9375
Fax
Practice Location
606 HOGAN ALLEY DR
MANSFIELD TX, 76063-5473, US
Phone (817) 703-9375
Fax
Business Location
606 HOGAN ALLEY DR
MANSFIELD TX, 76063-5473, US
Phone
Fax
Toxanomy
Taxonomy Code 251K00000X
License State
License Number
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According to our database, Youngvax NPI is 1275962623, taxonomy code is 251K00000X Youngvax physically located at 606 Hogan Alley Dr, Mansfield TX, 76063-5473. NPI Number 1033115704 has the healthcare provider type.

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1275962623 NPI number is provided on an as is basis without warranty of any kind. 1275962623 is maintained by the National Plan & Provider Enumeration System. The contents of Youngvax are for informational purposes only.