Individual
MICHELLE R. ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
(858) 266-4201
Mailing address
6549 MISSION GORGE RD # 184, SAN DIEGO, CA 92120-2306
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
29104
CA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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