Islay LLC

NPI #1396201299 in Mansfield, Ohio

Provider Information

NPI Number: 1396201299
Entity Type: Organization
Organization Name: Islay LLC
Primary Specialty: Specialist - Prosthetics Case Management
Enumeration Date: Feb 15, 2019
Last Updated: Feb 15, 2019

Practice Location

Address: 524 PARK AVE W
City: Mansfield
State: Ohio
ZIP Code: 44906-3720
Phone: (419) 709-9663

Authorized Official

Name: TRAI'SHAUN D BEARD, ADVANCED COSMETOLOGI
Title: CEO
Phone: (419) 709-9663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X	Primary

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