Individual
AMNA MUSTAFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 NEPONSET AVE, DORCHESTER, MA 02122-3168
(857) 217-3700
Mailing address
50 NEWPORT ST APT 3, DORCHESTER, MA 02125-1225
(802) 338-1183
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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