Individual
MRS. JILLENE FILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
496 SCHMIT RD, TOLEDO, WA 98591-9506
(360) 749-3700
Mailing address
496 SCHMIT RD, TOLEDO, WA 98591-9506
(360) 749-3700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00127435
WA
Other
Enumeration date
11/07/2017
Last updated
12/05/2017
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