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Ellisa Issa

NPI 1225526833 · on the registry since 2018

Practice

Address
36 E Elm Ave
Monroe, MI 48162
Phone
(734) 307-8794

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan