Diamond Phillips, | |
1918 Cornelia St, Ridgewood, NY 11385-4434 | |
(678) 592-6169 | |
Not Available |
Full Name | Diamond Phillips |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1918 Cornelia St, Ridgewood, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700596301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 345612-01 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Diamond Phillips, 1918 Cornelia St, Ridgewood, NY 11385-4434 Ph: (678) 592-6169 | Diamond Phillips, 1918 Cornelia St, Ridgewood, NY 11385-4434 Ph: (678) 592-6169 |
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