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Individual

MOZITA PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9915 E 63RD ST STE E, RAYTOWN, MO 64133-5021
(816) 982-9713
Mailing address
9915 E 63RD ST STE E, RAYTOWN, MO 64133-5021
(816) 982-9713

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82-4832247
MO
Enumeration date
06/20/2018
Last updated
06/20/2018
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