Individual
HUBEN LINDALE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2803 MEADOW WOOD CT W, CHESAPEAKE, VA 23321-4228
(757) 443-7826
Mailing address
USS BATAN LHD 05, FPO, AE 09554-1657
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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