Individual
TRISTINA BUKOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 GATEWAY DR, INDEPENDENCE, MO 64057-3321
(816) 288-5809
Mailing address
3200 GATEWAY DR, INDEPENDENCE, MO 64057-3321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012023997
MO
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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