Chandra Dawn Justice, MMP

NPI #1003394263 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1003394263
Entity Type: Individual
Name: Chandra Dawn Justice, MMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MMP
Enumeration Date: Jul 31, 2018
Last Updated: Jul 31, 2018

Practice Location

Address: 101 N KEMP AVE
City: Tishomingo
State: Oklahoma
ZIP Code: 73460-1719
Phone: (580) 371-7362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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