Individual
KHALILAH N FILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CFT
Contact information
Practice address
3902 EMERALD TREE LN, KISSIMMEE, FL 34744-9184
(407) 203-9911
Mailing address
3902 EMERALD TREE LN, KISSIMMEE, FL 34744-9184
(407) 203-9911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5147598
FL
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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