Individual
MS. WENDY M KAGGERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1329 GUSDORF RD, TAOS, NM 87571-6282
(575) 758-5001
(575) 737-5046
Mailing address
1329 GUSDORF RD, TAOS, NM 87571-6282
(575) 758-5001
(575) 737-5046
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25ME00007801
NJ
Other
Enumeration date
09/26/2005
Last updated
03/11/2008
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