Individual
ISIS EZIKPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4895 E RUSSELL RD APT 343, LAS VEGAS, NV 89120-4502
(702) 423-5001
Mailing address
4895 E RUSSELL RD APT 343, LAS VEGAS, NV 89120-4502
(702) 423-5001
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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