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PHILIP AMICK

Attendant Care Provider >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1932743366

Individual Registrant:
 PHILIP  AMICK 
Gender: M
Sole Proprietor

Location and contact information for practice:
716 PINOT NOIR DR  LODI, CA 95240-7408 US
Tel: 504-343-4092  Fax: --

Contact information for business:
2526 BANYAN DR  LODI, CA 95240-7104 US
Tel: 209-333-0139  Fax: --

Registration Information:
NPI: 1932743366
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747A0650XNursing Service Related Providers
Technician
Attendant Care Provider

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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