Individual
CHINAZOM KIZITO ISIOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(708) 265-1524
Mailing address
274 LOVELL PL, ERIE, PA 16503-2630
(708) 265-1524
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007647
PA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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