Individual
KAMERIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
321 W MENDENHALL ST, BOZEMAN, MT 59715-3446
(406) 200-8548
Mailing address
321 W MENDENHALL ST, BOZEMAN, MT 59715-3446
(406) 200-8548
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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