Organization
SYMPLE EQUAZION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PHILLIPS (CEO)
(209) 355-5574
Entity
Organization
Contact information
Practice address
710 W 18TH ST STE 10, MERCED, CA 95340-4629
(209) 355-5574
Mailing address
2093 NEBELA DR, ATWATER, CA 95301-2551
(682) 553-2366
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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