Most Relevant Information
Provider Data
| NPI Number: | 1003476177 |
| Provider Name: | MICHELLE TILLMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2019 |
| Last Updated: | 06/19/2019 |
Provider Practice Location
911 N BUFFALO DR UNIT 210
LAS VEGAS
NV
891280381
Practice Location Phone/Fax
| Phone: | 7029323500 |
| Fax: |
Provider Mailing Location
911 N BUFFALO DR UNIT 210
LAS VEGAS
NV
891280381
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |