Individual
ELLEN MARIE JANTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 766-4288
Mailing address
3726 S DAVIDSON AVE, INDEPENDENCE, MO 64055-3898
(913) 626-9111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128836
MO
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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