Individual
SHERIN SHAABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1321 W 22ND ST, SIOUX FALLS, SD 57105-1502
(605) 312-4363
Mailing address
1321 W 22ND ST, SIOUX FALLS, SD 57105-1502
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07623663
ECFMG
PA
Enumeration date
07/18/2018
Last updated
07/18/2018
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