| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VICKIE LYNN PHILLIPS | 1174190490 | 2021-06-06 |
Vickie Lynn Phillips is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174190490. Registration indicates Vickie Lynn Phillips is a provider of services with a specialization in Technologists, Technicians & Other Technical Service Providers, Specialist/Technologist, Other (Specialist/Technologist, Other: Art, Medical, ) (Specialist/Technologist, Other Art, Medical, Technologists, Technicians & Other Technical Service Providers) (Specialist/Technologist, Other, )
| Entity Type | Individual |
| Provider Name | Mrs. Vickie Lynn Phillips MEDICAL ESTHETICIAN |
| Practice Office Address | 3637 MEDINA RD STE 203 MEDINA, OH US |
| Practice Office Telephone | 3305928978 |
| Mailing Address | 3637 MEDINA RD STE 203 MEDINA, OH 442568155 US |
| Business Telephone | 3305928978 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 246ZA2600X PRIMARY | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Specialist/Technologist, Other: Art, Medical Specialist/Technologist, Other Art, Medical Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other |