Individual
LARHONDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9905 DRURY AVE, KANSAS CITY, MO 64137-1329
(816) 966-1417
Mailing address
9905 DRURY AVE, KANSAS CITY, MO 64137-1329
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19991 40566
MO
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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