Individual
MISS HINA MUSHTAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(708) 459-0504
Mailing address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(708) 459-0504
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
WY
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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