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Individual

ALLISON JUDY PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
121 CHITTICK RD, HYDE PARK, MA 02136-3345
(857) 383-1105

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
95127147
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95127147
CA

Other

Enumeration date
10/19/2017
Last updated
03/17/2018
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