Individual
STACEY DILLREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCMT
Contact information
Practice address
2800 W SAHARA AVE STE 8B-C, LAS VEGAS, NV 89102-4390
(702) 379-3704
Mailing address
1911 GROVESPRING ST, LAS VEGAS, NV 89135-1085
(702) 379-3704
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
4884
NV
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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