Individual
YULISSA A BERUMEN GURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 AVENUE G, COUNCIL BLUFFS, IA 51501-2413
(712) 326-8168
Mailing address
1725 AVENUE G, COUNCIL BLUFFS, IA 51501-2413
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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