Individual
ATIYA LASHAE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
Mailing address
36 SOUTH KINNELOA AVENUE, PASADENA, CA 91107
(626) 844-3033
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
285347
CA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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