Individual
MR. LESSIE THOMAS PHILPOT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 E 34TH ST, SAN BERNARDINO, CA 92404-2204
(773) 243-6473
Mailing address
2130 N ARROWHEAD AVE STE 101I, SAN BERNARDINO, CA 92405-4023
(773) 243-6473
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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