Individual
OMEGA SMITH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S MCDANIEL ST, ENFIELD, NC 27823-1727
(240) 675-6145
Mailing address
15029 WALKING STICK WAY, HAYMARKET, VA 20169-3116
(240) 675-6145
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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