Organization
ISALON PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA DODSON (HAIR LOSS SPECIALIST)
(216) 673-8527
Entity
Organization
Contact information
Practice address
18 COLUMBUS ST, BEDFORD, OH 44146-2819
(216) 673-8527
Mailing address
18 COLUMBUS ST, BEDFORD, OH 44146-2819
(216) 673-8527
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
OH
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/06/2015
Last updated
06/30/2020
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