Individual
MARY SOSOATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7800 PASEO BLVD, KANSAS CITY, MO 64131-1859
(816) 523-3055
Mailing address
8405 NE 110TH ST, KANSAS CITY, MO 64157-1112
(660) 233-9398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017038954
MO
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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