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Mike Ira Isham
Private Vehicle in Chico, California
NPI 1275253320

Mike Ira Isham is a Private Vehicle based in Chico, CA. Mike Ira Isham practices in Chico, CA. The NPI Number for Mike Ira Isham is 1275253320 and holds a License No. C3244694 (California).

The current practice location address for Mike Ira Isham is 1550 Springfield Dr Apt 60, Chico, CA and can be reached out via phone at 530-624-1776.

Location: 1550 Springfield Dr Apt 60, Chico, CA, 95928-6334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275253320
Provider Name
Mike Ira Isham
Credential
Provider Entity Type
Individual
Gender
Male
Address
1550 Springfield Dr Apt 60, Chico, CA, 95928-6334
Phone Number
530-624-1776
Fax Number
Provider Enumeration Date
08/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1550 Springfield Dr Apt 60
City
Chico
State
California
Zip
95928-6334
Phone Number
530-624-1776
Fax Number
person
Provider Business Mailing Address Details
Address
1550 Springfield Dr Apt 60
City
Chico
State
California
Zip
95928-6334
Phone Number
530-624-1776
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
C3244694 (California)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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