Individual
VERLEATA LASHONNE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 THOMAS AVE, APT 12, GRANDVIEW, MO 64030-4736
(816) 606-6920
Mailing address
1501 THOMAS AVE, APT 12, GRANDVIEW, MO 64030-4736
(816) 606-6920
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32358609
—
MO
Enumeration date
12/31/2009
Last updated
12/31/2009
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