Mirna Ishaq
Behavioral Analyst in Brighton, MI(View on Map)
Full Name
Mirna Ishaq
NPI Number
1881250017
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/14/2019
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
7401001813
Contact
Information
Purpose
Mailing
Location
Address
8175 MOVIE DR
8175 MOVIE DR
City
Brighton
Brighton
State
MI
MI
Postal Code
48116-7444
48116-7444
Country
US
US
Telephone Number
(248) 277-3005
(248) 277-3005
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
Mirna@Blossomchildrenscenter.com
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
8175 Movie DrBrighton, MI481167444US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/06/2022