Individual
MARNIE RUSTEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 KANAWHA BLVD E STE 1001306, CHARLESTON, WV 25301-3000
(917) 753-6225
Mailing address
321 S POINTE DR, CHARLESTON, WV 25314-2479
(646) 346-3211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50074735
NY
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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