Tillmon, Keona Jewel

Tillmon, Keona Jewel is an individual health care provider with primary practice located at 3920 W Charleston Blvd Ste O , Las Vegas NV 89102-1633. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Tillmon, Keona Jewel can be contacted via phone (702) 784-5541.

Contact Information

Primary practice address
3920 W Charleston Blvd Ste O Las Vegas NV 89102-1633
Phone: (702) 784-5541
Fax: (702) 915-7664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1003476383
LBN Legal business name Tillmon, Keona Jewel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2019
Last updated Jun 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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