Marie Diane Bazaldua

NPI #1962744532 in Eagle Pass, Texas

Provider Information

NPI Number: 1962744532
Entity Type: Individual
Name: Marie Diane Bazaldua
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 21, 2013
Last Updated: Mar 21, 2013

Practice Location

Address: 2135 E MAIN ST
City: Eagle Pass
State: Texas
ZIP Code: 78852-4895
Phone: (830) 773-0420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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