Individual
KAILA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
3407 S JEFFERSON AVE, SAINT LOUIS, MO 63118-3119
(314) 252-1933
Mailing address
12685 DORSETT RD # 405, MARYLAND HEIGHTS, MO 63043-2100
(314) 252-1933
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
1230241401
IL
Other
Enumeration date
11/02/2023
Last updated
12/03/2025
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