| Miss Stacey Ann Marie Phillips, LVN | |
|
40700 California Oaks Rd, Suite 202, Murrieta, CA 92562-5795 | |
| (951) 894-5072 | |
| (951) 894-7324 |
| Full Name | Miss Stacey Ann Marie Phillips |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 40700 California Oaks Rd, Murrieta, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801237888 | NPI | - | NPPES |
| 330652055 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 263312 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Stacey Ann Marie Phillips, LVN 40700 California Oaks Rd, Suite 202, Murrieta, CA 92562 Ph: (951) 894-5072 | Miss Stacey Ann Marie Phillips, LVN 40700 California Oaks Rd, Suite 202, Murrieta, CA 92562-5795 Ph: (951) 894-5072 |
Angela Danielle Quiles, L.V.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 40700 California Oaks Rd Ste 202, Murrieta, CA 92562 Phone: 951-894-5072 Fax: 951-894-7324 |