Damien Alexander Phillips
Nurse's Aide in Indio, CA. Individual provider (NPI-1).
NPI number1508239237
StatusActive
Last updated in NPPESNov 3, 2015
Details
- NPI
- 1508239237
- Entity type
- Individual (NPI-1)
- Name
- Damien Alexander Phillips
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2015
- Last updated
- Nov 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 00841747 | CA | Yes |
Practice location
47915 Oasis StIndio, CA 92201-6950
Phone 760-863-8638
Mailing address
2765 Bach AveThermal, CA 92274-6565
Phone 714-728-7694
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