Individual
MISS MARY AGNES FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3005 W 74TH ST, PRAIRIE VILLAGE, KS 66208-3228
(913) 262-0358
Mailing address
3005 W 74TH ST, PRAIRIE VILLAGE, KS 66208-3228
(913) 262-0358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1358875072
KS
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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