Individual
CHRISSIE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 MENCHACA RD # 152193, AUSTIN, TX 78745-5262
(512) 710-6684
Mailing address
7310 MENCHACA RD # 152193, AUSTIN, TX 78745-5262
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
TX
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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