Justin L Mortensen
NPI #1376333872 in Fort Eisenhower, Georgia
Provider Information
- NPI Number
- 1376333872
- Entity Type
- Individual
- Name
- Justin L Mortensen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 8, 2025
- Last Updated
- May 8, 2025
Practice Location
- Address
- 201 3RD AVE BLDG 38200
- Address 2
- PMB 216
- City
- Fort Eisenhower
- State
- Georgia
- ZIP Code
- 30905
- Phone
- (414) 573-1502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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