Individual
JAKEISHA DENISE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 E 85TH ST, RAYTOWN, MO 64138-3331
(816) 703-9448
Mailing address
9900 E 85TH ST, RAYTOWN, MO 64138-3331
(816) 703-9448
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
2022013872
MO
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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