Provider Demographics
NPI:1235448515
Name:YOUNG, ALESSIA LANETTE
Entity Type:Individual
Prefix:
First Name:ALESSIA
Middle Name:LANETTE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24620 BELLEMOOR DR # A
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-3824
Mailing Address - Country:US
Mailing Address - Phone:225-276-0064
Mailing Address - Fax:
Practice Address - Street 1:24620 BELLEMOOR DR # A
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3824
Practice Address - Country:US
Practice Address - Phone:225-276-0064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide