Stacey Youngblood's National Provider Identifier (NPI) Details
Stacey Youngblood, M.S.
NPI: 1942554076
Enumeration Date: 2012-10-26
Last updated: 2022-08-24
Sole Proprietor: YES
Status: active
Postal Address: 503 BROKEN SHALE CIR, HENDERSON, NV
Phone: 702-241-7166
Primary Practice Address: 503 BROKEN SHALE CIR, HENDERSON, NV
Practice's phone: