Individual
DAVIDA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 GLEN OAKS DR, ROCHESTER, NY 14624-1444
(585) 355-9756
Mailing address
38 GLEN OAKS DR, ROCHESTER, NY 14624-1444
(585) 355-9756
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318155
NY
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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