Individual
MR. CHARLES OBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 SE ONYX DR, LEES SUMMIT, MO 64063-5132
(816) 325-9455
Mailing address
328 SE ONYX DR, LEES SUMMIT, MO 64063-5132
(816) 325-9455
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
03/21/2022
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