Individual
STEPHANIE MARQUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 948-4223
Mailing address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
354965
KS
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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