Individual
THRISA LEE PHILLIPS- JIMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
(360) 312-2019
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61342977
WA
Other
Enumeration date
05/11/2023
Last updated
05/07/2024
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