Individual
ELIZABETH JOSEPHINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20206 GLENWOOD DR, CASTRO VALLEY, CA 94552-5229
(510) 415-1986
Mailing address
20206 GLENWOOD DR, CASTRO VALLEY, CA 94552-5229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54227
CA
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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