Individual
MRS. REGINA STELLA VERGARA-BAGBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 983-6311
Mailing address
5829 HOLMES ST, KANSAS CITY, MO 64110-3029
(816) 363-6128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2006033823
MO
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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