ISIDORE A AGOHA

FLUSHING, NY
NPI1841232022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  438841)
Enumeration Date2006-06-12
Last Update Date2018-02-14
Business Address
ISIDORE A AGOHA CRNA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-1435
Mailing Address
ISIDORE A AGOHA CRNA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440