Individual
ISILDA ISAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6045 ATLANTIC BLVD STE 204, NORCROSS, GA 30071-1322
(770) 954-8097
(770) 212-3587
Mailing address
6045 ATLANTIC BLVD STE 204, NORCROSS, GA 30071-1322
(770) 954-8097
(770) 212-3587
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
067-R-1960
GA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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