Individual
MANDY KAY SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 S OWINGS ST, OAK GROVE, MO 64075-9012
(816) 423-9257
Mailing address
2205 S OWINGS ST, OAK GROVE, MO 64075-9012
(816) 423-9257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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