Individual
ISIS AZIZA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 S COTTAGE GROVE AVE, URBANA, IL 61801-5248
(217) 419-5514
Mailing address
903 S COTTAGE GROVE AVE, URBANA, IL 61801-5248
(217) 419-5514
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
04/08/2022
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