Individual
ISATA KALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9141 ALAKING CT, STE. 112, CAPITOL HEIGHTS, MD 20743-5043
(301) 499-4655
Mailing address
9141 ALAKING CT, STE. 112, CAPITOL HEIGHTS, MD 20743-5043
(301) 499-4655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04884
MD
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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