Individual
MS. MARY WEDDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4931 MESA BONITA, SAN ANTONIO, TX 78218-2756
(210) 788-5946
Mailing address
4931 MESA BONITA, SAN ANTONIO, TX 78218-2756
(210) 788-5946
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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