Individual
FAWZIYAH MUSTAPHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,PHN
Contact information
Practice address
200 N GRAND AVE APT 220, WEST COVINA, CA 91791-1717
(909) 753-9985
(909) 753-9985
Mailing address
200 N GRAND AVE APT 220, WEST COVINA, CA 91791-1717
(909) 753-9985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
786628
CA
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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