Individual
ISLA MARTINEZ IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 SPRING GARDEN ST STE R105, PHILADELPHIA, PA 19130-4067
(610) 551-6904
Mailing address
15 KENALCON DR, PHOENIXVILLE, PA 19460-4523
(610) 551-6904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064134
PA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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