Individual
MINA WASEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 MAIDSTONE DR APT 48, BOILING SPRINGS, SC 29316-5694
(315) 561-9921
Mailing address
4000 MAIDSTONE DR APT 48, BOILING SPRINGS, SC 29316-5694
(315) 561-9921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13577
SC
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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