Individual
MUSTAFA SHARIF HASHIM NOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3468 CITRUS ST STE I, LEMON GROVE, CA 91945-1503
(619) 214-0085
Mailing address
3468 CITRUS ST STE I, LEMON GROVE, CA 91945-1503
(619) 214-0085
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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