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Individual
PRISSILLA ISSA
Active
Individual
PRISSILLA ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC5889
FL MEDICAL LICENSE
FL
Enumeration date
06/22/2020
Last updated
07/23/2024
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