Individual
WANDA CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20495 UMPHREY RD, LA CYGNE, KS 66040-9162
(913) 709-3429
Mailing address
20495 UMPHREY RD, LA CYGNE, KS 66040-9162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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