Provider Demographics
NPI:1982310116
Name:SONDY, ISABELLE EMELINE
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:EMELINE
Last Name:SONDY
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 1:3109 QUEENS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1155
Mailing Address - Country:US
Mailing Address - Phone:832-774-3629
Mailing Address - Fax:
Practice Address - Street 1:3109 QUEENS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1155
Practice Address - Country:US
Practice Address - Phone:832-774-3629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide