Individual
TAKAYO WAKAYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8583 AERO DR APT 3112, SAN DIEGO, CA 92123-1692
(858) 761-6390
Mailing address
8583 AERO DR APT 3112, SAN DIEGO, CA 92123-1692
(858) 761-6390
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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