Individual
MISS ROBENER AUDREY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3595
(301) 552-8865
Mailing address
8100 GOOD LUCK RD, LANHAM, MD 20706-3500
(301) 552-8865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0003379
MD
Other
Enumeration date
10/16/2006
Last updated
10/15/2021
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