MUSTAPHA I HYDARA

KENT, WA
NPI1972831451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60125636)
Enumeration Date2009-11-23
Last Update Date2013-05-15
Business Address
Mr. MUSTAPHA I HYDARA ARNP
615 W TITUS ST
KENT, WA 98032-5749
Phone number: 253-670-4234
Mailing Address
Mr. MUSTAPHA I HYDARA ARNP
13216 SE 263RD PL
KENT, WA 98042-3548
Phone number: 253-347-2665
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