Individual
MONICA R MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPENING ADULT DAY
Contact information
Practice address
9601 E TRUMAN RD, INDEPENDENCE, MO 64052-2165
(816) 749-9460
Mailing address
9601 E TRUMAN RD, INDEPENDENCE, MO 64052-2165
(816) 749-9460
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
00000000
MO
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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