Individual
MRS. JUANITA SANDRA MUSTAPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AID
Contact information
Practice address
201 58TH ST NE, APT. 003, WASHINGTON, DC 20019-6800
(301) 377-4821
(301) 262-2976
Mailing address
2802 FARRIS LN, BOWIE, MD 20715-2306
(301) 262-2976
(301) 262-2976
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
12/07/2006
Last updated
07/25/2007
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