Jamie Justice

NPI #1154008456 in Manteca, California

Provider Information

NPI Number: 1154008456
Entity Type: Individual
Name: Jamie Justice
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Jun 29, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 521 CURRY CT
City: Manteca
State: California
ZIP Code: 95337-5301
Phone: (209) 275-9430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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