Individual
MARY E ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 354-0767
Mailing address
904 SW WARREN AVE, TOPEKA, KS 66606-1883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1342564072
KS
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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