Individual
DR. MAHRAN A IZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, DAVOL BUILDING, 1ST FLOOR, PROVIDENCE, RI 02903
(401) 444-9909
Mailing address
2305 THEATRE DR, PASO ROBLES, CA 93446-9604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234877
MA
183500000X
Pharmacist
RPH05351
RI
Other
Enumeration date
08/24/2018
Last updated
10/23/2019
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