Provider First Line Business Practice Location Address:
801 W 97TH ST
Provider Second Line Business Practice Location Address:
SUMMIT VIEW CHURCH OF THE NAZARENE
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64114-3942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-254-1993
Provider Business Practice Location Address Fax Number:
913-499-1490
Provider Enumeration Date:
11/14/2009