Individual
TAMMY SUELLA COUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 NW 70TH ST, APT. 308, KANSAS CITY, MO 64151-3821
(913) 302-4600
Mailing address
6404 NW 70TH ST, APT. 308, KANSAS CITY, MO 64151-3821
(913) 302-4600
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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