MARIETTA GRACE YOUNG

JACKSON, MS
NPI1871122580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  T-4084)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-04
Last Update Date2023-04-13
Business Address
MARIETTA GRACE YOUNG
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5601
Mailing Address
MARIETTA GRACE YOUNG
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: