Individual
MELINDA DYONNE VIZCARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14108 GILLETTE ST, OVERLAND PARK, KS 66221-2848
(913) 685-7969
Mailing address
14108 GILLETTE ST, OVERLAND PARK, KS 66221-2848
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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