Provider Demographics
NPI:1750045506
Name:YOUNOS, RONA (LAC)
Entity Type:Individual
Prefix:
First Name:RONA
Middle Name:
Last Name:YOUNOS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CHESTNUT CIR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1141
Mailing Address - Country:US
Mailing Address - Phone:954-789-9032
Mailing Address - Fax:
Practice Address - Street 1:8527 PINES BLVD STE 208
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6668
Practice Address - Country:US
Practice Address - Phone:954-789-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist