Alexandra Wyatt, LM, CPM

NPI #1184063984 in Forney, Texas

Provider Information

NPI Number: 1184063984
Entity Type: Individual
Name: Alexandra Wyatt, LM, CPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: LM, CPM
Enumeration Date: Jun 14, 2013
Last Updated: Jun 14, 2013

Practice Location

Address: 1200 BUCKINGHAM DR
City: Forney
State: Texas
ZIP Code: 75126-6477
Phone: (818) 421-1355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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