Individual
ROBIN LEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 RAVEN WAY APT C, CHUBBUCK, ID 83202-1940
(208) 540-0245
Mailing address
436 RAVEN WAY APT C, CHUBBUCK, ID 83202-1940
(208) 540-0245
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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