Individual
SHONTA BRENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 E 67TH ST STE 101, RAYTOWN, MO 64133-5218
(816) 616-8060
(816) 494-2708
Mailing address
10001 E 67TH ST STE 101, RAYTOWN, MO 64133-5218
(816) 616-8060
(816) 494-2708
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
246RP1900X
MO
Other
Enumeration date
12/09/2016
Last updated
09/10/2025
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