Individual
YACOUB KHALIL HIJAZEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12181 COUNTY LINE RD STE 190, MADISON, AL 35758-7739
(256) 233-5454
Mailing address
154 AUDREY LN, GADSDEN, AL 35901-8836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-F33
AL
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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