Provider First Line Business Practice Location Address:
4050 PENNSYLVANIA ST. SUITE 143
Provider Second Line Business Practice Location Address:
THE PLAZA ACADEMY
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-561-0770
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/06/2013