Mildred Shields

NPI #1790931004 in Raytown, Missouri

Provider Information

NPI Number: 1790931004
Entity Type: Individual
Name: Mildred Shields
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Aug 18, 2008
Last Updated: Aug 18, 2008

Practice Location

Address: 9712 E 84TH ST
City: Raytown
State: Missouri
ZIP Code: 64138-3395
Phone: (816) 739-9852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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