Individual
MISS CARLA RAE ISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
106 S ABSAROKA ST, POWELL, WY 82435-2708
(307) 754-2020
(307) 764-2300
Mailing address
106 S ABSAROKA ST, POWELL, WY 82435-2708
(714) 840-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
416T
WY
Other
Enumeration date
04/29/2014
Last updated
06/26/2020
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