Individual
LYDIA NGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 889-4895
Mailing address
12599 S BELFORD ST, OLATHE, KS 66061-7814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021025361
MO
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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