Individual
JACKLEEN YOUSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2238 TODDS LN, HAMPTON, VA 23666-3159
(757) 224-9681
Mailing address
4921 FALCON CREEK WAY APT 304, HAMPTON, VA 23666-0960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220110
VA
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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