AMETHYST FAGAN TATE

DALLAS, TX
NPI1447744198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: TX  99337)
Enumeration Date2018-06-17
Last Update Date2023-01-31
Business Address
AMETHYST FAGAN TATE CPM
4100 SWISS AVE
DALLAS, TX 75204-6661
Phone number: 214-228-1392
Mailing Address
AMETHYST FAGAN TATE CPM
4100 SWISS AVE
DALLAS, TX 75204-6661
Phone number: 214-228-1392
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