Individual
MISS JESSICA ANNISE WILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 DELIGHTED AVE, NORTH LAS VEGAS, NV 89031-1395
(702) 403-6599
Mailing address
225 DELIGHTED AVE, NORTH LAS VEGAS, NV 89031-1395
(702) 403-6599
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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