Lisa M Custeau

NPI #1649939653 in Casper, Wyoming

Provider Information

NPI Number
1649939653
Entity Type
Individual
Name
Lisa M Custeau
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Dec 17, 2021
Last Updated
Dec 17, 2021

Practice Location

Address
1430 WILKINS CIR
City
Casper
State
Wyoming
ZIP Code
82601-1336
Phone
(307) 237-9583

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider
Technician, Other

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