SearchLouisiana101YP2500X

Rebekah Wisterman

NPI 1659755304 · on the registry since 2015 · sole proprietor

Practice

Address
905 Deville Ln
Ruston, LA 71270
Phone
(318) 242-4622

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-13

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 Louisiana