Mazen Sultan

NPI 1093109571 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1093109571
Gender Male
Enumeration Date 03/23/2015
Last Updated 02/03/2016
Entity Type Individual
Active Over 1 year ago
Practice Location
1804 TELLURIDE WAY APT 101
LOUISVILLE KY, 40223-0072, US
Phone (630) 457-6887
Fax
Business Location
1804 TELLURIDE WAY APT 101
LOUISVILLE KY, 40223-0072, US
Phone (630) 457-6887
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mazen Sultan NPI is 1093109571, taxonomy code is 390200000X Mazen Sultan physically located at 1804 Telluride Way Apt 101, Louisville KY, 40223-0072. NPI Number Mazen Sultan has the Individual type.

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1093109571 NPI number is provided on an as is basis without warranty of any kind. 1093109571 is maintained by the National Plan & Provider Enumeration System. The contents of Mazen Sultan are for informational purposes only.