Individual
SHONTESSCIA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 LEROY ST APT 7, INDEPENDENCE, MO 64050-4479
(816) 723-1064
Mailing address
955 LEROY ST APT 7, INDEPENDENCE, MO 64050-4479
(816) 723-1064
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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