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Mary Phillips

Technician, Attendant Care Provider in South Chesterfield, VA. Individual provider (NPI-1).

NPI number1154094902
StatusActive
Last updated in NPPESJul 28, 2021

Details

NPI
1154094902
Entity type
Individual (NPI-1)
Name
Mary Phillips
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 28, 2021
Certification date
Jul 28, 2021
Last updated
Jul 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider–VAYes

Practice location

20100 Shire Oak Dr
South Chesterfield, VA 23803-1417

Phone 804-590-9246

Mailing address

20100 Shire Oak Dr
South Chesterfield, VA 23803-1417

Phone 804-590-9246

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Other Attendant Care Provider providers in South Chesterfield, VA

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