Individual
ALANNA MADISON PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2238 N 22ND ST, SAINT JOSEPH, MO 64505-2211
(816) 383-4001
Mailing address
2238 N 22ND ST, SAINT JOSEPH, MO 64505-2211
(816) 383-4001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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