Individual
CASEY MICHELLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
592 W OMAHA AVE, CLOVIS, CA 93619-4805
(559) 593-2456
Mailing address
592 W OMAHA AVE, CLOVIS, CA 93619-4805
(559) 593-2456
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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