Individual
MRS. EMILY P WANNENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 E COAST DR, ATLANTIC BEACH, FL 32233-5517
(336) 813-0223
Mailing address
1135 E COAST DR, ATLANTIC BEACH, FL 32233-5517
(336) 813-0223
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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