Individual
SHAWN BUSH YASSINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD # 310, PEORIA, AZ 85381-4846
(623) 876-3910
Mailing address
13640 N PLAZA DEL RIO BLVD # 310, PEORIA, AZ 85381-4846
(623) 876-3910
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
04/05/2019
Last updated
05/17/2023
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