CHARLES PHILLIPS

GRASS VALLEY, CA
NPI1235026394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  mpss-otlyja)
Enumeration Date2025-06-21
Last Update Date2025-06-21
Business Address
CHARLES PHILLIPS
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-263-2914
Mailing Address
CHARLES PHILLIPS
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-263-2914
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