Individual
MR. MOSES W NGOTHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1309 NE ERNEST WAY, LEES SUMMIT, MO 64086-4000
(816) 695-2417
Mailing address
1309 NE ERNEST WAY, LEES SUMMIT, MO 64086-4000
(816) 695-2417
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2011033770
MO
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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