Individual
MRS. BRENDA RUTH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
10205 DURDEN AVE, HAMPTON, FL 32044-4480
(386) 385-2502
Mailing address
10205 DURDEN AVE, HAMPTON, FL 32044-4480
(386) 385-2502
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
06/21/2022
Last updated
07/25/2022
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