Individual
TEYONKA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 RANDY ST APT D, UPLAND, CA 91786-5131
(909) 809-8951
Mailing address
1364 RANDY ST APT D, UPLAND, CA 91786-5131
(909) 809-8951
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35129
CA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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