Individual
GRACE HEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
10531 N DALTON AVE, KANSAS CITY, MO 64154-1800
(816) 920-3364
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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