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Individual

MRS. MARY CASTANEDA WINGO I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN-IBCLC

Contact information

Practice address
4123 LEGEN BEND, NONE, SAN ANTONIO, TX 78230
(210) 479-7258
Mailing address
4123 LEGEN BEND, SAN ANTONIO, TX 78230
(210) 479-7258

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
539894
TX
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10320149
TX

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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