LANCE EDWARD PHILLIPS

TACOMA, WA
NPI1942770813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP00046344)
Enumeration Date2018-12-04
Last Update Date2018-12-04
Business Address
LANCE EDWARD PHILLIPS
3629 S D ST # 1119211
TACOMA, WA 98418-6813
Phone number: 253-798-6576
Mailing Address
LANCE EDWARD PHILLIPS
3629 S D ST # 1119211
TACOMA, WA 98418-6813
Phone number: 253-798-6576
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