Individual
ARDYTHE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ELM AVE, HYANNIS, MA 02601-5547
(508) 778-0300
Mailing address
50 REDFIELD ST, SUITE 302, DORCHESTER, MA 02122-3630
(617) 506-5160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103903
MA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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