Individual
MRS. MELISSA IRENE IZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Taxonomy
Speciality
Code
Description
License number
State
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
Primary
2699 028
WI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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