Search › Pennsylvania › 363LF0000X
Wisnada Dorestan
NPI 1467271197 · on the registry since 2024 · sole proprietor
Practice
- Address
- 444 N Mount Vernon St
Pottstown, PA 19464 - Phone
- (610) 504-9217
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania