Angel Isom
NPI #1063008985 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1063008985
- Entity Type
- Individual
- Name
- Angel Isom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Homemaker
- Enumeration Date
- Dec 15, 2020
- Last Updated
- May 2, 2022
Practice Location
- Address
- 4615 DUPREE RD.
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-5197
- Phone
- (662) 544-2536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Phlebotomy — Phlebotomy |
| Homemaker |
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