NPI 1063008985
Angel Isom
Practice location
- Address
- 4615 Dupree Rd., Olive Branch, MS 38654-5197
- Phone
- (662) 544-2536
Registered specialties (2)
Homemaker
Primary
Phlebotomy Technician
Registry record
- NPI
- 1063008985
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Dec 2020
- Record last updated
- 2 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.