Individual
MRS. AMANDA KAY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPN
Contact information
Practice address
4667 RANCHVIEW CIR, HUNTINGTON BEACH, CA 92649-3862
(951) 490-7276
Mailing address
4667 RANCHVIEW CIR, HUNTINGTON BEACH, CA 92649-3862
(951) 490-7276
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
706654
CA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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