Individual
TANIESHA MARINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
9511 NW 86TH TER, KANSAS CITY, MO 64153-1445
(720) 333-8200
Mailing address
9511 NW 86TH TER, KANSAS CITY, MO 64153-1445
(172) 033-3820
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
CO
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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