Individual
MR. DELRAY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W IVY ST, SAN DIEGO, CA 92101-1916
(773) 895-2330
Mailing address
130 W IVY ST, SAN DIEGO, CA 92101-1916
(773) 895-2330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55196
CA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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