Provider Demographics
NPI:1639691280
Name:ISLA, GIOVANNA ZOILA
Entity Type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:ZOILA
Last Name:ISLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 SUNNY BROOK CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192
Mailing Address - Country:US
Mailing Address - Phone:703-774-7573
Mailing Address - Fax:703-670-5013
Practice Address - Street 1:3925 SUNNY BROOK CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6446
Practice Address - Country:US
Practice Address - Phone:703-774-7573
Practice Address - Fax:703-670-5013
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)