Individual
LATISHA DE'BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
114 CONGRESS ST, BELTON, MO 64012-2400
(816) 331-8900
Mailing address
6405 E 163RD ST UNIT 4209, BELTON, MO 64012-1587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023025309
MO
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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