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Organization

EXPERIENCE THIS FIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DONNA M PHILLIP CFM (OWNER)
(340) 201-2911
Entity
Organization

Contact information

Practice address
9150 ESTATE THOMAS STE 203, ST THOMAS, VI 00802-2612
(340) 201-2911
Mailing address
5302 ESTATE BORDEAUX, ST THOMAS, VI 00802-8253
(340) 201-2911

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary

Other

Enumeration date
01/17/2024
Last updated
01/17/2024
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