MRS. Phadi Masisi-Mmutle

NPI #1902941248 in Joliet, Illinois

Provider Information

NPI Number: 1902941248
Entity Type: Individual
Name: MRS. Phadi Masisi-Mmutle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 300 N OTTAWA ST
City: Joliet
State: Illinois
ZIP Code: 60432-4009
Phone: (815) 722-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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