Individual
DOMINIQUE ALECIA WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED DOULA
Contact information
Practice address
7800 SAN FELIPE BLVD APT 708, AUSTIN, TX 78729-7656
(512) 825-3219
Mailing address
7800 SAN FELIPE BLVD APT 708, AUSTIN, TX 78729-7656
(512) 825-3219
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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