Individual
DR. CASEY MARIE WILDENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2219 E SAUNDERS ST, LAREDO, TX 78041-5432
(956) 729-7494
Mailing address
116 GEORGIA ST, LAREDO, TX 78041-3136
(956) 285-5869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50503
TX
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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