JUSTIN D HAGEDORN

WICHITA, KS
NPI1225676679
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2019-12-17
Last Update Date2021-11-30
Business Address
JUSTIN D HAGEDORN
320 N MAIN ST
WICHITA, KS 67202-1501
Phone number: 316-425-7717
Mailing Address
JUSTIN D HAGEDORN
8918 W. 21ST ST. N., SUITE 200 #198
WICHITA, KS 67205
Phone number: 316-425-7717