TIYAMIKE EZALA

OLATHE, KS
NPI1255902623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  53-80288-091)
Enumeration Date2021-07-07
Last Update Date2021-07-07
Business Address
TIYAMIKE EZALA NP
26061 W 150TH ST
OLATHE, KS 66061-8511
Phone number: 913-292-4410
Mailing Address
TIYAMIKE EZALA NP
26061 W 150TH ST
OLATHE, KS 66061-8511
Phone number: 913-292-4410
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