Individual
ROSHONDA VEDASHA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
404 MAGNOLIA DR, PALATKA, FL 32177-6418
(386) 325-2275
Mailing address
404 MAGNOLIA DR, PALATKA, FL 32177-6418
(386) 325-2275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9191119
FL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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