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Individual

MS. SANDHYA SUSAN PHILIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APN

Contact information

Practice address
3865 CHILDRESS AVE, SUITA A, MESQUITE, TX 75150-2802
(972) 681-7246
(972) 681-1079
Mailing address
807 ASHLEY PL, MESQUITE, TX 75181-4205
(201) 356-7986

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP125609
TX

Other

Enumeration date
04/04/2012
Last updated
03/31/2015
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