Individual
VICTORIA WAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CD, LCCE
Contact information
Practice address
303 17TH AVE S, BROOKINGS, SD 57006-2706
(605) 691-9319
Mailing address
303 17TH AVE S, BROOKINGS, SD 57006-2706
(605) 691-9319
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
68796
SD
374J00000X
Doula
Primary
3300
SD
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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