Individual
DR. MARY JO WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10001 E 67TH ST, RAYTOWN, MO 64133-5218
(816) 237-0102
Mailing address
10001 E 67TH ST, RAYTOWN, MO 64133-5218
(816) 237-0102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010007855
MO
Other
Enumeration date
04/14/2010
Last updated
01/13/2011
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