Provider Demographics
NPI:1891786521
Name:SON, YOUNG M (RN)
Entity Type:Individual
Prefix:MS
First Name:YOUNG
Middle Name:M
Last Name:SON
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:18TH MEDCCOM
Mailing Address - Street 2:ATTN: DCCS-QM
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205-0054
Mailing Address - Country:KR
Mailing Address - Phone:0118227-916-6027
Mailing Address - Fax:0118227-917-8110
Practice Address - Street 1:C CO 168TH MED BN
Practice Address - Street 2:UNIT # 15190
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271-5190
Practice Address - Country:KR
Practice Address - Phone:0118231-690-8359
Practice Address - Fax:0118231-690-7855
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
VA0001134345163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health