Individual
NICHOLAS JAMES WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22557 S WAVERLY RD, SPRING HILL, KS 66083-4534
(913) 238-3313
Mailing address
22557 S WAVERLY RD, SPRING HILL, KS 66083-4534
(913) 238-3313
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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