Individual
MONICA REVAE BEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5308 LONGVIEW RD, KANSAS CITY, MO 64137-2731
(816) 763-9165
(816) 763-9208
Mailing address
RR 2 BOX 115, SWEET SPRINGS, MO 65351-9348
(660) 335-4138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004029600
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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