Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 1978 | NC |
NPI | 1942535695 |
---|---|
Provider Name | Dr. Sonya Didomenico-Young |
First Address | Wilmington, NC 28405-3174 |
Second Address | Wilmington, NC 28405-3174 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2009 |
Last Update Date | 14/10/2009 |