LIBBI WISSEKERKE

WORCESTER, MA
NPI1497217400
Former NameLIBBI RICHARDSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA8171)
Additional Taxonomies363A00000X Physician Assistant
(Licence: RI  PA01129)
Enumeration Date2019-04-01
Last Update Date2021-11-15
Business Address
LIBBI WISSEKERKE PA-C
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-856-4161
Mailing Address
LIBBI WISSEKERKE PA-C
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: