Most Relevant Information
Provider Data
| NPI Number: | 1003567108 |
| Provider Name: | ISHA MALIK |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP037849 |
Most Important Dates
| Enumeration Date: | 01/11/2022 |
| Last Updated: | 01/11/2022 |
Provider Practice Location
3130 E BROADWAY RD
MESA
AZ
852041740
Practice Location Phone/Fax
| Phone: | 4806310253 |
| Fax: |
Provider Mailing Location
1887 E APPALOOSA RD
GILBERT
AZ
852963203
Provider Mailing Phone/Fax
| Phone: | 4807997990 |
| Fax: |