KENNETH FILLMORE

RANCHO CUCAMONGA, CA
NPI1164357885
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2026-06-15
Last Update Date2026-06-15
Business Address
Mr. KENNETH FILLMORE
13684 JEREMY CT
RANCHO CUCAMONGA, CA 91739-2031
Phone number: 909-476-2023
Mailing Address
Mr. KENNETH FILLMORE
31961 LINDA LADERA ST
YUCAIPA, CA 92399-1507
Phone number:
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