Individual
ISATU SANKOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15453 W MADISON ST, GOODYEAR, AZ 85338-3397
(602) 380-9189
Mailing address
15453 W MADISON ST, GOODYEAR, AZ 85338-3397
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH7429
AZ
Other
Enumeration date
03/21/2022
Last updated
08/07/2023
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