Organization
DEBORAH WASHAM DBA BARE ESSENTIALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH WASHAM (OWNER)
(816) 943-6465
Entity
Organization
Contact information
Practice address
9409 GRANDVIEW RD, KANSAS CITY, MO 64132-2801
(816) 943-6465
Mailing address
9409 GRANDVIEW RD, KANSAS CITY, MO 64132-2801
(816) 943-6465
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
627855307
—
MO
Enumeration date
04/12/2007
Last updated
05/12/2009
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