TERESA MICHELE VICKERY

KANSAS CITY, MO
NPI1811248198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MO  2012012235)
Enumeration Date2012-09-26
Last Update Date2012-09-26
Business Address
-- TERESA MICHELE VICKERY
620 E 18TH ST
KANSAS CITY, MO 64108-1510
Phone number: 816-554-4246
Mailing Address
-- TERESA MICHELE VICKERY
620 E 18TH ST
KANSAS CITY, MO 64108-1510
Phone number:
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