Individual
PHILLIP JAMES AZZARITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
2612 E AVENUE R14, PALMDALE, CA 93550-2709
(661) 341-7482
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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