Individual
ISHA LEIGH AXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 W POLK ST APT 12, AUBURNDALE, FL 33823-3535
(863) 521-7287
Mailing address
217 W POLK ST APT 12, AUBURNDALE, FL 33823-3535
(863) 521-7287
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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