Khaleel Mohammad Moussa

NPI #1558017194 in Antioch, Tennessee

Provider Information

NPI Number: 1558017194
Entity Type: Individual
Name: Khaleel Mohammad Moussa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 22, 2022
Last Updated: Feb 25, 2022

Practice Location

Address: 412 AMBERTON CT
City: Antioch
State: Tennessee
ZIP Code: 37013-5631
Phone: (615) 521-3962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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