Isaac Mardis

NPI #1043651912 in Fallon, Nevada

Provider Information

NPI Number: 1043651912
Entity Type: Individual
Name: Isaac Mardis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Jul 8, 2013
Last Updated: Jul 8, 2013

Practice Location

Address: 1490 GRIMES ST
City: Fallon
State: Nevada
ZIP Code: 89406-3103
Phone: (775) 423-1412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Rehabilitation Practitioner	225400000X	Primary

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