GHULAM MUJTABA

SHREVEPORT, LA
NPI1033845714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-07-26
Last Update Date2022-07-26
Business Address
GHULAM MUJTABA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
Mailing Address
GHULAM MUJTABA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434