RICHARD LAWRENCE PHILLIPS

SAN DIEGO, CA
NPI1134981236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
RICHARD LAWRENCE PHILLIPS IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 442-226-2337
Mailing Address
RICHARD LAWRENCE PHILLIPS IDC
9539 CASABA AVE
CHATSWORTH, CA 91311-5308
Phone number: 442-226-2337