Individual
MISS AUDREY M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 CENTRAL PARK BLVD UNIT 1428, HARVEY, LA 70058-3691
(340) 227-2662
Mailing address
1499 CENTRAL PARK BLVD UNIT 1428, HARVEY, LA 70058-3691
(340) 227-2662
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
010925841
LA
172A00000X
Driver
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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