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Ayesha Mustafa Johnson

Driver in Menifee, CA. Individual provider (NPI-1).

NPI number1942015482
StatusActive
Last updated in NPPESFeb 11, 2025

Details

NPI
1942015482
Entity type
Individual (NPI-1)
Name
Ayesha Mustafa Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 11, 2025
Certification date
Feb 11, 2025
Last updated
Feb 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X DriverF7663796CAYes

Practice location

28300 Encanto Dr
Menifee, CA 92586-4524

Phone 951-350-9564

Mailing address

28300 Encanto Dr
Menifee, CA 92586-4524

Phone 951-350-9564

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