Individual
EDITH RUSERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 W 12TH ST APT 1, GRAND ISLAND, NE 68803-3717
(308) 227-5994
Mailing address
1904 W 12TH ST APT 1, GRAND ISLAND, NE 68803-3717
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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