SIR ISAAC LLC

GLENDALE, AZ
NPI1750124459
Entity TypeOrganization
Authorized ContactMASSA KIAWOIN LAVANT
Manager
763-639-1269
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center Health Service
Enumeration Date2024-06-18
Last Update Date2024-06-25
Business Address
SIR ISAAC LLC
18275 N 59TH AVE STE 128
GLENDALE, AZ 85308-1252
Phone number: 763-639-1269
Mailing Address
SIR ISAAC LLC
18275 N 59TH AVE STE 128
GLENDALE, AZ 85308-1252
Phone number: 763-639-1269
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