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Individual

ROBERTA PHILLIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
700 NATIONAL HWY, LAVALE, MD 21502-7335
(301) 729-2248
(877) 402-2669
Mailing address
700 NATIONAL HWY, LAVALE, MD 21502-7335
(301) 729-2248
(877) 402-2669

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
02529
MD

Other

Enumeration date
05/24/2016
Last updated
05/24/2016
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