Individual
MARINA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5002 S 235TH ST, ELKHORN, NE 68022-3022
(402) 707-6064
Mailing address
5002 S 235TH ST, ELKHORN, NE 68022-3022
(402) 707-6064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2060
NE
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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