Individual
PATRICIA ANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4100
Mailing address
16257 CASWELL LN, RENO, NV 89511-9091
(775) 846-3042
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
LP024
NV
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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