Individual
HEIDEE J PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 25TH ST, WATERVLIET, NY 12189-1922
(518) 590-2852
Mailing address
714 25TH ST, WATERVLIET, NY 12189-1922
(518) 590-2852
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NY
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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