Most Relevant Information
Provider Data
| NPI Number: | 1003436353 |
| Provider Name: | ISAAC NIVAR |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2020 |
| Last Updated: | 04/16/2020 |
Provider Practice Location
4300 LONDONDERRY RD
HARRISBURG
PA
171095317
Practice Location Phone/Fax
| Phone: | 7172215685 |
| Fax: |
Provider Mailing Location
115 NORTH ST APT 315
HARRISBURG
PA
171011051
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |