Provider Demographics
NPI:1649091398
Name:WILL, ISABELLA ARIANA (PA-C)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:ARIANA
Last Name:WILL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 E MARCH LN STE C
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-5625
Mailing Address - Country:US
Mailing Address - Phone:209-227-5052
Mailing Address - Fax:209-475-8146
Practice Address - Street 1:1507 E MARCH LN STE C
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-5625
Practice Address - Country:US
Practice Address - Phone:209-227-5052
Practice Address - Fax:209-475-8146
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant