Young, Shanetra L

Young, Shanetra L is an sole proprietor health care provider with primary practice located at 1303 Avocado Ave Ste 120 , Newport Beach CA 92660-7840. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Young, Shanetra L can be contacted via phone (949) 386-9794.

Contact Information

Primary practice address
1303 Avocado Ave Ste 120 Newport Beach CA 92660-7840
Phone: (949) 386-9794
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 81202 California

Profile Details

NPI number 1184343907
LBN Legal business name Young, Shanetra L
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2022
Last updated Aug 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184343907 NPPES
California Other 81202 LICENSE NUMBER

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