Individual
JULIANNA TARAK MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC09 5040 1 UNIVERSITY OF NEW MEXICO, CLEVELAND, NM 87131
(505) 272-6607
Mailing address
MSC09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6607
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
35.149907
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0133
NM
Other
Enumeration date
04/28/2021
Last updated
06/26/2025
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