Individual
SIERRA IZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(316) 268-5757
Mailing address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02648
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2022
Last updated
01/18/2024
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