Individual
AMY NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13907 MAGNOLIA GRV, LINDALE, TX 75771-7944
(214) 960-8076
Mailing address
13907 MAGNOLIA GRV, LINDALE, TX 75771-7944
(214) 960-8076
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1021717
TX
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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