Individual
UDUAK AGNES UDONGWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Mailing address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024009162
MO
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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