Provider First Line Business Practice Location Address:
3901 RAINBOW BLVD
Provider Second Line Business Practice Location Address:
DIETETICS AND NUTRITION KUMC 4013
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66103-2937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-5358
Provider Business Practice Location Address Fax Number:
913-588-8946
Provider Enumeration Date:
10/12/2009