MRS. Phillis T Siciliano

NPI #1104711266 in La Vista, Nebraska

Provider Information

NPI Number: 1104711266
Entity Type: Individual
Name: MRS. Phillis T Siciliano
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Jun 10, 2025
Last Updated: Jun 10, 2025

Practice Location

Address: 8018 S 101ST STREET
City: La Vista
State: Nebraska
ZIP Code: 68128
Phone: (718) 810-5052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X
Chore Provider	372500000X	Primary

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