Individual
MUSU MUSTAPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5901 W BROWN DEER RD, UNIT 103, MILWAUKEE, WI 53223-2364
(414) 355-0585
(414) 365-3454
Mailing address
5901 W BROWN DEER RD, UNIT 103, MILWAUKEE, WI 53223-2364
(414) 355-0585
(414) 365-3454
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303987
WI
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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