Individual
MR. ISAAC WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 REGINA LN, MONCKS CORNER, SC 29461-2747
(646) 320-0834
Mailing address
PO BOX 173455, HIALEAH, FL 33017-3455
(646) 320-0834
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W623-400-61-297-0
FL
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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