Individual
PHYLLIS LEE MENESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4075
Mailing address
618 HOUSTON DR, BISHOP, CA 93514-7649
(760) 614-0013
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
382741
CA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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