Individual
MRS. KELLY LASHAWN HILLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 HEATHER RIDGE RD, NORTH LAS VEGAS, NV 89031-1523
(702) 273-0301
Mailing address
1309 HEATHER RIDGE RD, NORTH LAS VEGAS, NV 89031-1523
(702) 273-0301
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
46-4790140
NV
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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