Individual
LYNDA IDOURAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 907-4927
Mailing address
825 E 5TH ST APT 240, TUCSON, AZ 85719-5040
(520) 331-4564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022196
AZ
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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