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Individual

MONIECE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9605 E. 90TH TERRACE, KANSAS CITY, MO 64138
(816) 888-0977
Mailing address
9605 E 90TH TER, KANSAS CITY, MO 64138-4748
(816) 888-0977

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010005884
MO

Other

Enumeration date
05/01/2023
Last updated
05/01/2023
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