Individual
YEANNA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
(816) 235-1808
Mailing address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
(913) 212-8945
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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