Johannah Isaia

NPI #1922199587 in Normal, Illinois

Provider Information

NPI Number: 1922199587
Entity Type: Individual
Name: Johannah Isaia
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2200 FORT JESSE RD
City: Normal
State: Illinois
ZIP Code: 61761-6286
Phone: (309) 661-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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