Individual
MUSTAF SUFI ADDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6072 UNIVERSITY AVE, SAN DIEGO, CA 92115-6330
(619) 730-5025
Mailing address
6072 UNIVERSITY AVE, SAN DIEGO, CA 92115-6330
(619) 730-5025
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-2640227
NON EMERGENCY MEDICAL TRANSPORTATION
CA
Enumeration date
01/04/2019
Last updated
01/04/2019
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