Individual
DAMIEN ALEXANDER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Mailing address
2765 BACH AVE, THERMAL, CA 92274-6565
(714) 728-7694
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00841747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00841747
NURSE ASSISTANT CERTIFICATION
CA
Enumeration date
11/03/2015
Last updated
11/03/2015
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