Individual
MARISA G ALVARADO WANDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 MCKINNON LOOP, BUDA, TX 78610-9313
(512) 350-9177
Mailing address
507 MCKINNON LOOP, BUDA, TX 78610-9313
(512) 350-9177
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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