Individual
OLIVIA ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
959 STEWART DR APT 1127, SUNNYVALE, CA 94085-3945
(812) 844-0385
Mailing address
959 STEWART DR APT 1127, SUNNYVALE, CA 94085-3945
(812) 844-0385
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
1280164129
IN
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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