NPI 1063259125

Grace Young

Practitioner Student in an Organized Health Care Education/Training Program Bloomington, IN

Practice location

Address: 228 S Grant St, Bloomington, IN 47408-4067
Phone: (310) 503-9261

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063259125
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2024
Record last updated: 15 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.