Individual
EVELYN LIPANA RUSTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, PEDIATRICS, N5W56, BALTIMORE, MD 21201-1544
(410) 328-6662
(410) 328-0646
Mailing address
22 S GREENE ST, PEDIATRICS, N5W56, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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