STAECY MONTGOMERY

LEES SUMMIT, MO
NPI1932371804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2007029746)
Enumeration Date2008-03-31
Last Update Date2008-03-31
Business Address
-- STAECY MONTGOMERY PN
417 NE COLONIAL CT
LEES SUMMIT, MO 64064-1917
Phone number: 816-503-8615
Mailing Address
-- STAECY MONTGOMERY PN
417 NE COLONIAL CT
LEES SUMMIT, MO 64064-1917
Phone number: 816-503-8615
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