Individual
CHRASHAE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
8727 PICA AVE, ODESSA, TX 79765-2047
(432) 923-3995
Mailing address
8727 PICA AVE, ODESSA, TX 79765-2047
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13011
TX
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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