Individual provider · Type 1 NPI

Keona Jewel Tillmon

Other Technician · Las Vegas, NV

NPI number 1003476383 Active

Practice location

3920 W Charleston Blvd Ste O
Las Vegas, NV 89102-1633

Call (702) 784-5541 Map

Fax (702) 915-7664

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1003476383

Keona Jewel Tillmon's National Provider Identifier is 1003476383, issued on Jun 18, 2019. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 18, 2019.