SHARANDELL RENA WALLACE

BLUE SPRINGS, MO
NPI1235087008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2015022803)
Enumeration Date2026-03-18
Last Update Date2026-03-18
Business Address
SHARANDELL RENA WALLACE
605 SW US HIGHWAY 40 # 146
BLUE SPRINGS, MO 64014-3232
Phone number: 816-479-1426
Mailing Address
SHARANDELL RENA WALLACE
605 SW US HIGHWAY 40 # 146
BLUE SPRINGS, MO 64014-3232
Phone number: 816-479-1426
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