Individual
KRISTINE MARIE RAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6095 PROFESSIONAL PKWY STE A210, DOUGLASVILLE, GA 30134-5611
(770) 949-4188
Mailing address
3330 ENNFIELD LN, DULUTH, GA 30096-7727
(770) 596-7193
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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