Individual
MS. GRACE ELLEN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 W MOANA LN, RENO, NV 89509-4903
(775) 682-8687
Mailing address
604 W MOANA LN, RENO, NV 89509-4903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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