Individual
MRS. REKHA ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8390 LATTY AVE, HAZELWOOD, MO 63042-3236
(314) 521-6060
(314) 524-9854
Mailing address
1005 WATERFORD DR, FLORISSANT, MO 63033-3649
(314) 521-6060
(314) 524-9854
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
02/28/2007
Last updated
07/09/2007
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