IMANI ISSA

TYLER, TX
NPI1245713569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-09-12
Last Update Date2018-09-12
Business Address
IMANI ISSA
3900 UNIVERSITY BLVD
TYLER, TX 75799-6600
Phone number: 817-707-4208
Mailing Address
IMANI ISSA
2366 STAGECOACH ST
FORT WORTH, TX 76133-8196
Phone number: 817-707-4208
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