ISIAH BLAKE ROSALES

LUBBOCK, TX
NPI1497553747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2025-03-04
Last Update Date2025-04-07
Business Address
ISIAH BLAKE ROSALES
8214 MILWAUKEE AVE STE 200
LUBBOCK, TX 79424-0959
Phone number: 806-475-5544
Mailing Address
ISIAH BLAKE ROSALES
1805 W AVENUE H
MULESHOE, TX 79347-4329
Phone number: 806-773-8834