Individual
NAIYA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 E LAVERNE ST, BOLIVAR, MO 65613-1488
(913) 744-8430
Mailing address
1830 E LAVERNE ST, BOLIVAR, MO 65613-1488
(913) 744-8430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2023007974
MO
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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