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Individual

MR. GASTON PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11801 PIERCE ST, SUITE 200, RIVERSIDE, CA 92505-4400
(877) 844-4421
Mailing address
1 WORLD TRADE CTR, SUITE 800, LONG BEACH, CA 90831-0002
(866) 508-2236
(619) 330-2153

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
372600000X
Adult Companion
374U00000X
Home Health Aide
376K00000X
Nurse's Aide

Other

Enumeration date
03/18/2009
Last updated
03/19/2009
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