Individual
RICHARD LAWRENCE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(442) 226-2337
Mailing address
9539 CASABA AVE, CHATSWORTH, CA 91311-5308
(442) 226-2337
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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