IAN JAMES MUKISA

FORT GORDON, GA
NPI1821632985
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-11-01
Last Update Date2021-03-24
Business Address
IAN JAMES MUKISA PA
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER 300 EAST HOSPITAL ROAD
FORT GORDON, GA 30909-5650
Phone number: 631-568-1009
Mailing Address
IAN JAMES MUKISA PA
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30909-5650
Phone number: