Individual
DANA ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 HOSPITAL RD, NEW ROADS, LA 70760-2649
(225) 240-9457
Mailing address
1042 HOSPITAL RD, NEW ROADS, LA 70760-2649
(225) 240-9457
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
LA
Enumeration date
03/29/2017
Last updated
03/29/2017
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