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Individual

MARSHON M ISAAC SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1857 WOODDALE BLVD, BATON ROUGE, LA 70806-1510
(800) 640-3451
Mailing address
14470 STONEGATE MANOR DR, GONZALES, LA 70737-7593

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214812
LA

Other

Enumeration date
09/15/2020
Last updated
12/05/2024
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