Individual
SHANNON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 FITCHBURG ST SW, PALM BAY, FL 32908-1302
(321) 327-8298
Mailing address
215 FITCHBURG ST SW, PALM BAY, FL 32908-1302
(321) 327-8298
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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