Organization
WILD MOTHER PATH, LLC
Active
Other names
Queen City Doulas
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN BLANCHE MARIE FOSTER NP, RN (MEMBER)
(704) 268-9194
Entity
Organization
Contact information
Practice address
12821 JACKS LN, PINEVILLE, NC 28134-6430
(704) 268-9194
Mailing address
12821 JACKS LN, PINEVILLE, NC 28134-6430
(704) 268-9194
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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