Individual
MS. ATIRA TIVONIA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4232 TROOST AVE, KANSAS CITY, MO 64110-1240
(816) 541-3718
Mailing address
3214 HARRISON ST APT 1A, KANSAS CITY, MO 64109-1826
(816) 398-0661
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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