Nickiesha Monicks Young

NPI #1467191379 in Portland, Oregon

Provider Information

NPI Number: 1467191379
Entity Type: Individual
Name: Nickiesha Monicks Young
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: May 31, 2022
Last Updated: May 31, 2022

Practice Location

Address: 5316 NE 29TH AVE
City: Portland
State: Oregon
ZIP Code: 97211-6242
Phone: (503) 405-2352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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