Individual
CYNTHIA KAY WASSMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39505 LONESTAR RD, FONTANA, KS 66026-7666
(785) 220-8633
Mailing address
104 BIRCH ST, BLUE EYE, MO 65611-8299
(785) 220-8633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007036685
MO
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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