Individual
MR. XAVIER LAMANCE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14101 MARQUESAS WAY APT 4321, MARINA DEL REY, CA 90292-7460
(864) 704-2142
Mailing address
14101 MARQUESAS WAY APT 4321, MARINA DEL REY, CA 90292-7460
(864) 704-2142
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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