Individual
GLYZA MAE BORLASA BALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S DOWNEY AVE, INDEPENDENCE, MO 64056-1729
(816) 642-7738
Mailing address
104 S DOWNEY AVE, INDEPENDENCE, MO 64056-1729
(816) 642-7738
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2020032539
MO
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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