Individual
MUSTRHI S ABDUSAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 MAPLE AVE APT 1204, TAKOMA PARK, MD 20912-5556
(202) 545-0935
Mailing address
7600 MAPLE AVE APT 1204, TAKOMA PARK, MD 20912-5556
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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