Individual
ALISHA CHANTAY ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 PAINTER ST, GALAX, VA 24333-3830
(276) 236-5164
Mailing address
63 SWINNEY HOLLOW RD, FRIES, VA 24330-3548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009193
VA
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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