Individual
JEROME JOSEPH STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8788 METCALF AVE, OVERLAND PARK, KS 66212-2041
(913) 826-2787
Mailing address
11875 S SUNSET DR STE 300, OLATHE, KS 66061-2794
(712) 577-1669
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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