Individual
ROBERT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
674 MEHERRIN RD, SOUTH HILL, VA 23970-6522
(434) 262-2194
Mailing address
674 MEHERRIN RD, SOUTH HILL, VA 23970-6522
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
0002067165
VA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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