Individual
MARIELLA ILKIAEIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10115 JEFFREYS ST, APT 2019, LAS VEGAS, NV 89183-7901
(702) 487-1306
Mailing address
10115 JEFFREYS ST, APT 2019, LAS VEGAS, NV 89183-7901
(702) 487-1306
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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