Individual
JEANNINE FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8565 W ROME BLVD, LAS VEGAS, NV 89149-1280
(702) 971-6471
Mailing address
7855 DEER SPRINGS WAY APT 1013, LAS VEGAS, NV 89131-4004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10-1031
NV
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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