Provider Demographics
NPI:1639390305
Name:YOUNG, YONIE (L AC)
Entity Type:Individual
Prefix:MS
First Name:YONIE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W MAIN ST
Mailing Address - Street 2:STE. #202
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-4722
Mailing Address - Country:US
Mailing Address - Phone:209-676-0048
Mailing Address - Fax:209-725-1145
Practice Address - Street 1:515 W MAIN ST
Practice Address - Street 2:STE. #202
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4722
Practice Address - Country:US
Practice Address - Phone:209-676-0048
Practice Address - Fax:209-725-1145
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11287171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist