Individual
ASHLEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-7500
Mailing address
3353 W GARFIELD ST, DAVENPORT, IA 52804-1329
(563) 940-2031
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041373351
IL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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