Organization
MARIAMA MUSTAPHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAMA MUSTAPHA NURSE (LPN)
(732) 213-5974
Entity
Organization
Contact information
Practice address
1580 WORTHINGTON CLUB DR, WESTERVILLE, OH 43081-4621
(732) 213-5974
Mailing address
1580 WORTHINGTON CLUB DR, WESTERVILLE, OH 43081-4621
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
128971
OH
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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