Tabatha Lee Justice

NPI #1023560174 in Sterling, Illinois

Provider Information

NPI Number
1023560174
Entity Type
Individual
Name
Tabatha Lee Justice
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Oct 25, 2016
Last Updated
Oct 25, 2016

Practice Location

Address
2611 WOODLAWN RD
ZIP Code
61081-4151
Phone
(815) 625-0013

Specialties & Taxonomy Codes

Specialty
Specialist

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