Individual
TYRRANDA ALLIYAH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 GROVE RD, QUINCY, FL 32351
(850) 491-9327
Mailing address
241 GROVE RD, QUINCY, FL 32351
(850) 491-9327
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
379861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852232489
—
FL
Enumeration date
01/14/2021
Last updated
01/14/2021
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