Individual
TAMMY DIANE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
49 GROVE ST, CARBONDALE, PA 18407-2113
(570) 558-3232
Mailing address
49 GROVE ST, CARBONDALE, PA 18407-2113
(570) 558-3232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN541413
PA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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