Individual
VANESSA JOY MAMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
8001 NE 110TH TER, KANSAS CITY, MO 64157-8171
(816) 522-1389
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
2010009499
MO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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