Individual
PATIENCE IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 DENISON AVE, APT 211, MANHATTAN, KS 66502
(316) 871-4496
Mailing address
1615 DENISON AVE, APT 211, MANHATTAN, KS 66502
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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