Individual
ITORO ISAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 DUVALL LN, UNIT #104, GAITHERSBURG, MD 20877-1653
(240) 421-3240
Mailing address
104 DUVALL LN, UNIT #104, GAITHERSBURG, MD 20877-1653
(240) 421-3240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1017984
DC
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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