MANSURU MUSTAPHA

JBLM, WA
NPI1013159193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2009-04-03
Last Update Date2013-05-30
Business Address
Mr. MANSURU MUSTAPHA Physician Assistant
9119 MIL PARK AVE WINDER CLINIC -RAIDER CLINIC
JBLM, WA 98433-1100
Phone number: 253-477-0800
Mailing Address
Mr. MANSURU MUSTAPHA Physician Assistant
MADIGAN ARMY CENTER 9040 REID ST ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number: 253-968-2252
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