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Individual

MRS. RACHELLE ENDRIGAN RENFRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 581-5899
(816) 347-3046
Mailing address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 581-5899
(816) 347-3046

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010028206
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841235298
MO
Enumeration date
06/08/2017
Last updated
07/21/2022
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