Tia Taquesta Phillips
NPI #1912761859 in Manchester, New Hampshire
Provider Information
- NPI Number
- 1912761859
- Entity Type
- Individual
- Name
- Tia Taquesta Phillips
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 12, 2024
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 105 HOLLY AVE
- City
- Manchester
- State
- New Hampshire
- ZIP Code
- 03103-4607
- Phone
- (561) 563-1973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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