Individual
KHALED ABDULLAH MOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18254 REED ST, MELVINDALE, MI 48122-1523
(313) 587-8283
Mailing address
18254 REED ST, MELVINDALE, MI 48122-1523
(313) 587-8283
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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