CORLISS Y PHILLIPS

FORT PIERCE, FL
NPI1114597259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy372600000X Adult Companion
(Licence: FL  234020)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: FL  5195534)
376J00000X Homemaker
(Licence: FL  234020)
Enumeration Date2021-06-30
Last Update Date2021-06-30
Business Address
CORLISS Y PHILLIPS LPN
1903 PLOVER AVE APT A
FORT PIERCE, FL 34949-3446
Phone number: 772-940-3736
Mailing Address
CORLISS Y PHILLIPS LPN
1903 PLOVER AVE APT A
FORT PIERCE, FL 34949-3446
Phone number: 772-940-3736