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Individual

DARVIN LEVAR PHILLIPS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13423 BLANCO RD STE 593, SAN ANTONIO, TX 78216-2187
(253) 525-4457
Mailing address
13423 BLANCO RD STE 593, SAN ANTONIO, TX 78216-2187
(253) 525-4457

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
174400000X
Specialist
Primary
174H00000X
Health Educator
246Z00000X
Other Specialist/Technologist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/29/2020
Last updated
06/03/2020
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