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Individual

MS. BRENDA PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
72 MOODY CT, 101, THOUSAND OAKS, CA 91360-6067
(805) 777-3500
Mailing address
72 MOODY CT, 101, THOUSAND OAKS, CA 91360-6067
(805) 777-3500

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
375094
CA

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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