Individual
ASMA ISACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4919 W EVA ST, GLENDALE, AZ 85302-3520
(951) 329-7638
Mailing address
4919 W EVA ST, GLENDALE, AZ 85302-3520
(951) 329-7638
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
265583
AZ
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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