Individual
CASEY WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CLS
Contact information
Practice address
4749 WILLIAMS DR STE 334, GEORGETOWN, TX 78633-3711
(512) 826-2527
Mailing address
4749 WILLIAMS DR STE 334, GEORGETOWN, TX 78633-3711
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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