Individual
ALTHEA ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2506 ARUNDEL RD, APT. 3, MOUNT RAINIER, MD 20712-2223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP36775
MD
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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