Individual
MRS. BARBARA ELAINE WILSON CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSED IBCLC
Contact information
Practice address
12710 BURSON DRIVE, MANCHACA, TX 78652
(512) 292-7227
(512) 292-7228
Mailing address
12710 BURSON DRIVE, MANCHACA, TX 78652
(512) 292-7227
(512) 292-7228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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