Individual
KAITLYN WAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 ALTA VISTA RD, FORT WORTH, TX 76244-6500
(817) 562-2828
(817) 768-6940
Mailing address
10340 ALTA VISTA RD, FORT WORTH, TX 76244-6500
(817) 562-2828
(817) 768-6940
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
99220
TX
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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