Individual
KASSIA ANN WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3625 HUTCH DR, PLANO, TX 75074-8965
(509) 592-5279
Mailing address
3625 HUTCH DR, PLANO, TX 75074-8965
(509) 592-5279
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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