Individual
MIR M MOSHREF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10415 N HELENA AVE, KANSAS CITY, MO 64154-1809
(773) 368-5071
Mailing address
10415 N HELENA AVE, KANSAS CITY, MO 64154-1809
(773) 368-5071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024040610
MO
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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