Individual
MRS. TANYA MICHELLE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 KENSTONE CT, FLORISSANT, MO 63033-3935
(816) 943-9951
Mailing address
7 KENSTONE CT, FLORISSANT, MO 63033-3935
(816) 943-9951
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
MO
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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