PHILLIP ARCHIE EDWARDS

SANTA ROSA, CA
NPI1063989655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2018-11-01
Last Update Date2025-08-05
Business Address
PHILLIP ARCHIE EDWARDS
1120 GORDON LN
SANTA ROSA, CA 95404-5636
Phone number: 707-527-3249
Mailing Address
PHILLIP ARCHIE EDWARDS
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828