Individual
CRISTINA ENRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10950 W 86TH ST, LENEXA, KS 66214-1634
(913) 722-4240
Mailing address
5675 ROE BLVD STE 100, ROELAND PARK, KS 66205-2538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-41747
KS
207Q00000X
Family Medicine Physician
2021038274
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
11/13/2024
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