Organization · Type 2 NPI

Sir Isaac LLC

Health Service Clinic/Center · Glendale, AZ

NPI number 1750124459 Active

Practice location

18275 N 59th Ave Ste 128
Glendale, AZ 85308-1252

Fax (602) 938-2283

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

Another provider at this address

Christine Tran, DDSGeneral Practice Dentistry Glendale, AZ NPI 1801317391

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NPI record

NPI: 1750124459
Entity type: Organization (Type 2)
Issued: Jun 18, 2024
Last updated: Jun 25, 2024
Status: Active

Other names

<unavail>
Future Health and Wellness · doing business as
Future Health and Wellness · doing business as

Authorized official

Mrs. Massa Kiawoin Lavant, OWNER
Manager
(763) 639-1269

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About NPI 1750124459

Sir Isaac LLC's National Provider Identifier is 1750124459, issued on Jun 18, 2024. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Glendale, AZ. The record was last updated on Jun 25, 2024.