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Individual

KATHLEEN ANNE MAYORGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN CNM

Contact information

Practice address
100 E LOUISIANA ST, SUITE 6, MCKINNEY, TX 75069-4412
(217) 428-7060
(972) 542-8172
Mailing address
100 E LOUISIANA ST, SUITE 6, MCKINNEY, TX 75069-4412
(217) 428-7060
(972) 542-8172

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
554960
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487837
TX
Enumeration date
08/18/2006
Last updated
11/24/2023
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