Individual
SUSANE MARIE LOPEZ CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
14000 RUSSELL ST, OVERLAND PARK, KS 66223-2538
(972) 330-7043
Mailing address
4050 PENNSYLVANIA AVE, SUITE 115 #213, KANSAS CITY, MO 64111-3041
(972) 330-7043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
01/18/2023
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