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Organization
LIFESTYLE DIABETIC SUPPORT SERVICES, LLC
Active
Organization
LIFESTYLE DIABETIC SUPPORT SERVICES, LLC
Active
Other names
Assyrian Family Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSEPH YOUKHANA PHARM D (OWNER)
(602) 675-0887
Entity
Organization
Contact information
Practice address
10210 N 32ND ST STE C7, PHOENIX, AZ 85028-3826
(602) 675-1576
(602) 610-5844
Mailing address
10210 N 32ND ST STE C7, PHOENIX, AZ 85028-3826
(602) 675-1576
(602) 610-5844
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
NULL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
IL
Other
Enumeration date
12/09/2013
Last updated
09/09/2020
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