SAOUSSAN ALFAHEL

LAKE STATION, IN
NPI1366697427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01078593A)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  036.125340)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125.052662)
Enumeration Date2008-11-17
Last Update Date2022-07-21
Business Address
-- SAOUSSAN ALFAHEL MD
2490 CENTRAL AVE
LAKE STATION, IN 46405-2122
Phone number: 219-763-8112
Mailing Address
-- SAOUSSAN ALFAHEL MD
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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