Individual
GEORLENE THERESA VANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11930 S PFLUMM RD APT 12107, OLATHE, KS 66062-9666
(504) 975-0531
Mailing address
11930 S PFLUMM RD APT 12107, OLATHE, KS 66062-9666
(504) 975-0531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2006022859
MO
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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