Individual
DENA MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Mailing address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
C.2405952-TRNE
OH
Other
Enumeration date
07/24/2024
Last updated
09/05/2024
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