Individual
DR. JASSONI SHAE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
7110 YOUREE DR, SHREVEPORT, LA 71105-5107
(318) 798-7860
(318) 798-7860
Mailing address
7110 YOUREE DR, SHREVEPORT, LA 71105-5107
(318) 798-7860
(318) 798-7860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019494
LA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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