Individual
SIMISOLA MUSTAPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4213 OGLETHORPE ST APT 101, HYATTSVILLE, MD 20781-1540
(240) 478-4682
Mailing address
4213 OGLETHORPE ST APT 101, HYATTSVILLE, MD 20781-1540
(240) 478-4682
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00185575
MD
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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