Individual
KELLY ALASTAIR PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLEC
Contact information
Practice address
818 GREENBERRY LN, SAN RAFAEL, CA 94903-1226
(415) 412-5104
Mailing address
818 GREENBERRY LN, SAN RAFAEL, CA 94903-1226
(415) 412-5104
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
2017DONA
CA
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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