JUSTIN WILDER

AUSTIN, TX
NPI1144731357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: TX  930303)
Enumeration Date2017-10-14
Last Update Date2017-10-14
Business Address
Mr. JUSTIN WILDER RN
201 LAVACA ST
AUSTIN, TX 78701-3960
Phone number: 754-234-0938
Mailing Address
Mr. JUSTIN WILDER RN
201 LAVACA ST
AUSTIN, TX 78701-3960
Phone number:
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