MICHAEL PHILLIPS

SHREVEPORT, LA
NPI1154990638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-21
Last Update Date2021-06-21
Business Address
MICHAEL PHILLIPS
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
Mailing Address
MICHAEL PHILLIPS
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434