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Individual

RITA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3211 WOODLAND AVE, KANSAS CITY, MO 64109
(816) 554-4277
Mailing address
3211 WOODLAND AVE, KANSAS CITY, MO 64109-2073
(816) 554-4277

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2016019099
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016019099
OTHER
MO
Enumeration date
10/15/2018
Last updated
10/15/2018
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