Individual
GLORIA AIDA MENDIBURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6420 W 95TH ST STE 100, OVERLAND PARK, KS 66212-1434
(913) 826-3150
Mailing address
11608 TOMAHAWK CREEK PKWY APT C, LEAWOOD, KS 66211-2625
(913) 748-5798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3611
KS
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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