Individual
DR. MARYAM NOURELDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-4480
Mailing address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26026684A
IN
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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