JOHANNAH ISAIA

NORMAL, IL
NPI1922199587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-002063)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
-- JOHANNAH ISAIA
2200 FORT JESSE RD
NORMAL, IL 61761-6286
Phone number: 309-661-6290
Mailing Address
-- JOHANNAH ISAIA
2200 FORT JESSE RD
NORMAL, IL 61761-6286
Phone number: 309-661-6290
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