Individual
CA CER LIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 HILL RD, SAINT JOSEPH, MO 64506-1321
(816) 646-5832
Mailing address
3701 HILL RD, SAINT JOSEPH, MO 64506-1321
(816) 646-5832
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
206B078005
MO
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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