Individual
ANNIE LAGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5644 PROSPECT AVE, KANSAS CITY, MO 64130-3617
(816) 665-8106
Mailing address
5644 PROSPECT AVE, KANSAS CITY, MO 64130-3617
(816) 665-8106
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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