Individual
LYDIAH MBWIRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-4838
Mailing address
16100 BLUEGRASS CT, BELTON, MO 64012-3339
(301) 704-7022
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2010013986
MO
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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