Individual
MALACHI AXAVIER HUGHES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1477 SPRUCE AVE, LIBERTY, MO 64068-1029
(816) 337-8705
Mailing address
1477 SPRUCE AVE, LIBERTY, MO 64068-1029
(816) 337-8705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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