Most Relevant Information
Provider Data
| NPI Number: | 1003322637 |
| Provider Name: | CRYSTAL YOUNG-ROWE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703116606 |
Most Important Dates
| Enumeration Date: | 12/19/2017 |
| Last Updated: | 12/19/2017 |
Provider Practice Location
19800 SAXTON AVE
SOUTHFIELD
MI
480757330
Practice Location Phone/Fax
| Phone: | 3135952948 |
| Fax: |
Provider Mailing Location
19800 SAXTON AVE
SOUTHFIELD
MI
480757330
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |