Individual
DEMETRICE PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3513 SULLEN PL, NEW ORLEANS, LA 70131-5545
(504) 715-3292
Mailing address
3513 SULLEN PL, NEW ORLEANS, LA 70131-5545
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
64700
LA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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