IBRAHIM ISA

CHARLESTON, SC
NPI1760896823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  LL36898)
Enumeration Date2014-06-17
Last Update Date2014-06-17
Business Address
-- IBRAHIM ISA
169 ASHLEY AVE RM 202 MSC 333
CHARLESTON, SC 29425-8905
Phone number: 843-792-9705
Mailing Address
-- IBRAHIM ISA
169 ASHLEY AVE RM 202 MSC 333
CHARLESTON, SC 29425-8905
Phone number: 843-792-9705
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