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MS. IETHA L PHILLIPS LPN

Hospice and Palliative Medicine >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1619178670

Individual Registrant:
MS. IETHA L PHILLIPS LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
1346 SHAWVIEW AVE.  E. CLEVELAND, OH 44112-2720 US
Tel: 216-761-1296  Fax: --

Contact information for business:
1346 SHAWVIEW AVE.  E. CLEVELAND, OH 44112 US
Tel: 216-761-1296  Fax: --

Registration Information:
NPI: 1619178670
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080H0002XAllopathic & Osteopathic Physicians
Pediatrics
Hospice and Palliative Medicine
OHPN100508

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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