NPI 1073242798

Raed Al-Mustafa

Practitioner Driver Glen Allen, VA

Practice location

Address: 3908 Wyatt Farm Dr, Glen Allen, VA 23059-5000
Phone: (804) 218-9249

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1073242798
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2022
Record last updated: 8 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.