Individual
STEPHANIE LYN ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
111 DESERT SAGE CT, SANTA TERESA, NM 88008-9107
(915) 494-0987
Mailing address
111 DESERT SAGE CT, SANTA TERESA, NM 88008-9107
(915) 494-0987
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00422
TX
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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