SHUKUFA MANSOURI

LONGVIEW, TX
NPI1770171977
Former NameSHUKUFA ABDUL WAHAB
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110-007625)
Enumeration Date2021-01-04
Last Update Date2025-10-09
Business Address
SHUKUFA MANSOURI PA-C
CHRISTUS GOOD SHEPHERD MEDICAL CENTER 700 EAST MARSHALL AVENUE
LONGVIEW, TX 75601
Phone number: 804-368-4302
Mailing Address
SHUKUFA MANSOURI PA-C
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
Phone number: 804-368-4302
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