Individual
JAYME KATRICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
7709 DELWAU LN, AUSTIN, TX 78725-2614
(512) 769-3612
(866) 924-2995
Mailing address
7709 DELWAU LN, AUSTIN, TX 78725-2614
(512) 769-3612
(866) 924-2995
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99124
TX
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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