Individual
GILLIAN IZLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 VAUGHN RD, BURLINGTON, NC 27217-2863
(919) 452-5495
Mailing address
1214 VAUGHN RD, BURLINGTON, NC 27217-2863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10522
NC
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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