Individual
NAKIA MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1817 BLACK BEAR DR, FORT WAYNE, IN 46808-3512
(260) 515-6780
Mailing address
1817 BLACK BEAR DR, FORT WAYNE, IN 46808-3512
(260) 515-6780
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850587246
—
IN
Enumeration date
02/25/2022
Last updated
02/25/2022
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