Individual
MS. JESSICA LOLA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 N MAIN ST, KINSHIP CENTER FAMILY TIES, SALINAS, CA 93906-1516
(831) 443-0662
(831) 443-0668
Mailing address
124 RIVER RD, KINSHIP CENTER, SALINAS, CA 93908-9601
(831) 455-9965
(831) 455-4777
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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