Individual
MONISURE SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4603 WALLACE AVE APT 4, KANSAS CITY, MO 64129-2162
(816) 499-0832
Mailing address
4603 WALLACE AVE APT 4, KANSAS CITY, MO 64129-2162
(816) 499-0832
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W213173010
MO
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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