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Individual

JUDITH AMANDA MANCIA PINEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4215 BLUE RIDGE CUT OFF, KANSAS CITY, MO 64133-1420
(360) 903-8168
Mailing address
4215 BLUE RIDGE CUT OFF, KANSAS CITY, MO 64133-1420
(360) 903-8168

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary

Other

Enumeration date
10/30/2023
Last updated
10/30/2023
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