Individual
MRS. PHILLIS T SICILIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8018 S 101ST STREET, LA VISTA, NE 68128
(718) 810-5052
Mailing address
8018 S 101ST STREET, LA VISTA, NE 68128
(718) 810-5052
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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