Provider Demographics
NPI:1295436624
Name:FILMORE, IVORY (PARAMEDICAL)
Entity type:Individual
Prefix:MS
First Name:IVORY
Middle Name:
Last Name:FILMORE
Suffix:
Gender:F
Credentials:PARAMEDICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20184
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-0184
Mailing Address - Country:US
Mailing Address - Phone:508-345-9283
Mailing Address - Fax:
Practice Address - Street 1:113 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-3207
Practice Address - Country:US
Practice Address - Phone:508-345-9283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist