Individual
MIA DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4838 N MANCHESTER AVE, KANSAS CITY, MO 64119
(816) 820-3100
Mailing address
4838 N MANCHESTER AVE, KANSAS CITY, MO 64119-4078
(816) 820-3100
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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