Organization
LIFESTYLE DIABETIC SUPPORT SERVICES, LLC
Active
Other names
Assyrian Family Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSEPH YOUKHANA PHARM D (OWNER)
(602) 675-0887
Entity
Organization
Contact information
Practice address
10210 N 32ND ST STE C7, PHOENIX, AZ 85028-3826
(602) 675-1576
(602) 610-5844
Mailing address
10210 N 32ND ST STE C7, PHOENIX, AZ 85028-3826
(602) 675-1576
(602) 610-5844
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
IL
Other
Enumeration date
12/09/2013
Last updated
09/09/2020
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