Individual
MUSTAPHA M MOMULOUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A1, WASHINGTON, DC 20032-4958
(202) 218-0179
Mailing address
4660 MARTIN LUTHER KING JR AVE SW STE A1, WASHINGTON, DC 20032-4958
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
06/14/2023
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