Individual
JAMIE PRO PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
173 SHERWOOD RD, BRIDGEPORT, WV 26330-1062
(702) 824-3191
Mailing address
173 SHERWOOD RD, BRIDGEPORT, WV 26330-1062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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