Individual
IBRAHIM MSHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1573
(434) 282-9696
Mailing address
3109 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1573
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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