Individual
MUSTAFA AHMAD NIZAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4892 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-3222
(510) 243-2360
Mailing address
4892 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-3222
(510) 243-2360
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95163269
CA
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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