Individual
CORAL TARYN ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
117 RAMSEY WAY, TOLEDO, WA 98591-9445
(360) 864-4400
(360) 864-4329
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61479917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2260949
—
WA
Enumeration date
01/11/2023
Last updated
10/18/2023
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