Individual
JUAN GABRIEL STEWART CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-0950
Mailing address
2411 HOLMES ST # M1-125A, KANSAS CITY, MO 64108-2741
(816) 235-6612
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PENDING
MO
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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