Most Relevant Information
Provider Data
| NPI Number: | 1003696733 |
| Provider Name: | HAILEY ELAINE WYNN CERTIFIED DOULA |
| Entity Type: | Individual |
| Taxonomy Code: | 374J00000X |
| Specialty: | Doula |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/02/2023 |
| Last Updated: | 10/02/2023 |
Provider Practice Location
1679 PENNINGTON DR
ONTARIO
OR
979144254
Practice Location Phone/Fax
| Phone: | 5412128575 |
| Fax: |
Provider Mailing Location
1679 PENNINGTON DR
ONTARIO
OR
979144254
Provider Mailing Phone/Fax
| Phone: | 5412128575 |
| Fax: |