Individual
ALISA BETH FAJKUS
Active
Individual
ALISA BETH FAJKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
2013025730
MO
367A00000X
Advanced Practice Midwife
Primary
2024026678
MO
Other
Enumeration date
07/31/2023
Last updated
11/21/2024
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