Individual
WILLEM LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6114 N JEFFERSON ST APT 4, KANSAS CITY, MO 64118-3941
(816) 518-2607
Mailing address
6114 N JEFFERSON ST APT 4, KANSAS CITY, MO 64118-3941
(816) 518-2607
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1721728128
MO
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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