Individual
DR. THEA ABOU JAOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 S WALNUT ST, BLOOMINGTON, IN 47401-7302
(812) 336-6223
Mailing address
650 S PEYTON CIR APT 205, BLOOMINGTON, IN 47404-8043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031839A
IN
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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