Individual
BETTIE L WALLACE-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6178 CROSS BEND CT, KALAMAZOO, MI 49009-2854
(269) 753-9727
Mailing address
6178 CROSS BEND CT, KALAMAZOO, MI 49009-2854
(269) 753-9727
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/18/2025
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