Individual
MS. EBONY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
6908 DAY DR, FORT WORTH, TX 76132-2997
(815) 690-7953
Mailing address
6908 DAY DR, FORT WORTH, TX 76132-2997
(815) 690-7953
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
22410
TX
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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