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Individual

TENAYA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4301 NE PARVIN RD, KANSAS CITY, MO 64117-3001
(816) 702-8000
Mailing address
9123 E 88TH TER, KANSAS CITY, MO 64138-4518
(816) 604-0802

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
84325A
MO

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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