Individual
BREANNA KAY BEZONA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12351 WEST 96TH TER, SUITE 207, LENEXA, KS 66215
(913) 732-7832
Mailing address
13830 SANTE FE TRAIL DR., ST. 104, LENEXA, KS 66215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06047
KS
Other
Enumeration date
06/25/2020
Last updated
12/02/2020
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