KIMBERLY R BLACK
Midwife at Wagon Rd, Austin, TX

License number
Florida 180
Issued Date
Oct 11, 2004
Effective Date
Jan 17, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Midwifery
Address
Address
10630 Wagon Rd W, Austin, TX 78736
Phone
(512) 695-3003
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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