Individual
ANGELA SHADE ISOM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5744 NANJACK CIR, MEMPHIS, TN 38115-2061
(901) 797-9711
(901) 797-9771
Mailing address
601 N WALNUT BEND RD, CORDOVA, TN 38018-6494
(901) 751-8482
(901) 758-2089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82822
TN
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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