Individual
MARIECARL S BALISCAO
Active
Sole proprietor
No
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
237 W 4TH ST APT 510, KANSAS CITY, MO 64105-8309
(808) 383-6967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022023805
MO
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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