Individual
MILDRED SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9712 E 84TH ST, RAYTOWN, MO 64138-3395
(816) 739-9852
Mailing address
9712 E 84TH ST, RAYTOWN, MO 64138-3395
(816) 739-9852
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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