Individual
FEZAN RASOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19550 EAST 39TH ST SOUTH, STE 310, INDEPENDENCE, MO 64057
(816) 698-7817
Mailing address
19550 EAST 39TH ST SOUTH, STE 310, INDEPENDENCE, MO 64057
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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