RUSSELL S PHILLIPS

STOCKTON, CA
NPI1184777492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2007-01-19
Last Update Date2023-12-21
Business Address
Mr. RUSSELL S PHILLIPS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-5436
Mailing Address
Mr. RUSSELL S PHILLIPS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-5436
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