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Javonta Young
NPI 1942644109 · on the registry since 2013
Practice
- Address
- 4363 Martin Luther King Jr Ave Sw
Washington, DC 20032 - Phone
- (202) 808-5025
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia