Individual
KATIE LEE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
4450 BARTLESON RD, SEBASTOPOL, CA 95472-6007
(707) 849-1331
Mailing address
4450 BARTLESON RD, SEBASTOPOL, CA 95472-6007
(707) 849-1331
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF00100925
CA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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