Individual
ISABELLE EVA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13115 W MISSISSIPPI CT APT 309, LAKEWOOD, CO 80228-3484
(650) 743-0198
Mailing address
13115 W MISSISSIPPI CT APT 309, LAKEWOOD, CO 80228-3484
(650) 743-0198
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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