Individual
DEONTE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4850 W FLAMINGO RD STE 25AB, LAS VEGAS, NV 89103-3705
(702) 871-9917
Mailing address
3360 ATHENS ST APT 1, LAS VEGAS, NV 89169-2862
(702) 936-1142
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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