Individual
DALIA YOUSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1159 E SOUTHERN AVE, MESA, AZ 85204-5011
(480) 573-1104
Mailing address
1159 E SOUTHERN AVE, MESA, AZ 85204-5011
(480) 573-1104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016974
AZ
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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