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Andell Y Phillip Valid NPI

Individual provider · Homemaker · Lake Mary, FL

NPI
1922563030
Type
Individual (Type 1)
Primary specialty
Homemaker
Specialty group
Nursing Service Related Providers
Taxonomy code
376J00000X
License number
239577 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2019-02-02
Last updated
2023-12-01
Practice location
1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096
(352) 502-4923

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