Individual
ANDREA VICTORIA DRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
106 N MAIN ST, LIBERTY, MO 64068-1640
(816) 807-9486
Mailing address
1601 NE 38TH ST, KANSAS CITY, MO 64116-2303
(816) 807-9486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2014041503
MO
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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