Individual
CHRISTA ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15071 PEACH TREE LN, MONROE, MI 48161-4506
(734) 625-5472
Mailing address
15071 PEACH TREE LN, MONROE, MI 48161-4506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703102972
MI
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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