Individual
YASMINE AL-SHDIFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 W BROADWAY, COUNCIL BLUFFS, IA 51501-3509
(712) 328-2266
Mailing address
2508 W BROADWAY, COUNCIL BLUFFS, IA 51501-3509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17187
NE
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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