Individual
PHILLIP LOGHRY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20149 BRITTANY CT, CASTRO VALLEY, CA 94546-4601
(510) 244-9484
Mailing address
20149 BRITTANY CT, CASTRO VALLEY, CA 94546-4601
(510) 244-9484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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