Individual
MADISON VARANDA WRIBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2497 CREVE COEUR MILL RD, MARYLAND HEIGHTS, MO 63043-1199
(314) 213-8051
Mailing address
8680 DELMAR BLVD APT 553, SAINT LOUIS, MO 63124-2337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2025030201
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/20/2026
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