Individual
MS. MARRIAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4705 E 109TH TERR, KANSAS CITY, MO 64138
(816) 985-8852
Mailing address
4705 E 109TH TERR, KANSAS CITY, MO 64138
(816) 985-8852
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
372600000X
MO
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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