Individual
TIM SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5409 NW 58TH TER, KANSAS CITY, MO 64151-2617
(816) 679-6474
Mailing address
5409 NW 58TH TER, KANSAS CITY, MO 64151-2617
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24-40800-021
KS
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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