DR. Wanda Dib Mustapha

NPI #1679104525 in Melvindale, Michigan

Provider Information

NPI Number: 1679104525
Entity Type: Individual
Name: DR. Wanda Dib Mustapha
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 18340 ALLEN RD
City: Melvindale
State: Michigan
ZIP Code: 48122-1560
Phone: (313) 587-7481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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