Individual
MS. KRYSTAL JUNE WAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M
Contact information
Practice address
37718 UPPER CAMP CREEK RD, SPRINGFIELD, OR 97478-8753
(541) 206-8238
Mailing address
37718 UPPER CAMP CREEK RD, SPRINGFIELD, OR 97478-8753
(541) 206-8238
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
07100013
TN
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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