Individual
EBONY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25157 W BELOAT RD APT B108, BUCKEYE, AZ 85326-5253
(562) 249-9464
Mailing address
25157 W BELOAT RD APT B108, BUCKEYE, AZ 85326-5253
(562) 249-9464
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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