| NPI | 1407163314 |
|---|---|
| Other Name | AMANDA G YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 686761896) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL 686761898) |
| 171W00000X Contractor (Licence: FL 002084700) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |