Individual
MARAN ALEXANDRA TENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7817 WORNALL ROAD, KANSAS CITY, MO 64114
(816) 281-7633
Mailing address
7817 WORNALL ROAD, KANSAS CITY, MO 64114-1846
(618) 843-1774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020018548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/07/2020
Last updated
11/05/2021
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