DALENA MAE CUSTER

CHARLOTTE, NC
NPI1184706806
Former NameDALENA MAE WENNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-00302)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NC  001000302)
Enumeration Date2006-10-20
Last Update Date2025-06-03
Business Address
DALENA MAE CUSTER PA-C
10620 PARK RD STE 128
CHARLOTTE, NC 28210-0106
Phone number: 704-542-6111
Mailing Address
DALENA MAE CUSTER PA-C
PO BOX 96860
CHARLOTTE, NC 28296-6860
Phone number: