Individual
CINEKA MELICIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 MESA VERDA CV, CLINTON, MS 39056-5916
(313) 622-5988
Mailing address
104 MESA VERDA CV, CLINTON, MS 39056-5916
(313) 622-5988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329864
MS
164W00000X
Licensed Practical Nurse
4703114738
MI
Other
Enumeration date
12/26/2017
Last updated
03/17/2018
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