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Individual

MS. DELTA LYNN PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, TRAINING SPECIAL

Contact information

Practice address
3913 SWEET PINE ST., UNIT 102, LAS VEGAS, NV 89108
(702) 636-0841
Mailing address
3913 SWEET PINE ST., UNIT 102, LAS VEGAS, NV 89108

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
02/28/2013
Last updated
02/28/2013
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