Individual
NIEVES AZENETH GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2323
(816) 446-9018
Mailing address
17205 MONTE VERDE DR, BELTON, MO 64012-2839
(816) 405-7419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MO
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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