Individual
ISHA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 631-0253
Mailing address
1887 E APPALOOSA RD, GILBERT, AZ 85296-3203
(480) 799-7990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP037849
AZ
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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