JOANITA IDICULA

KANSAS CITY, MO
NPI1508249269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2015017265)
Enumeration Date2015-06-30
Last Update Date2015-06-30
Business Address
JOANITA IDICULA
6675 HOLMES RD SUITE 450
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7650
Mailing Address
JOANITA IDICULA
6675 HOLMES RD SUITE 450
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7650