Individual
MRS. SACHIKO M DIGUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
709 NW 18TH ST, BLUE SPRINGS, MO 64015-2928
(816) 786-0516
Mailing address
709 NW 18TH ST, BLUE SPRINGS, MO 64015-2928
(816) 786-0516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004028911
MO
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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