Individual
KISHNA MARIE OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 E ANDRADA RD, VAIL, AZ 85641-9341
(404) 599-1725
Mailing address
3524 E ANDRADA RD, VAIL, AZ 85641-9341
(404) 599-1725
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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