CHANEL DIANA GILLIAM-JACKSON

LAS VEGAS, NV
NPI1093369886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2019-07-30
Last Update Date2019-07-30
Business Address
CHANEL DIANA GILLIAM-JACKSON
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119-5191
Phone number: 725-222-7203
Mailing Address
CHANEL DIANA GILLIAM-JACKSON
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119-5191
Phone number:
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