Individual
MUSTAFA G ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7399 LAKE PARK DR, WEST CHESTER, OH 45069-2636
(937) 610-6545
Mailing address
7399 LAKE PARK DR, WEST CHESTER, OH 45069-2636
(937) 610-6545
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/10/2022
Last updated
07/13/2023
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