Individual
JUSTINE LEUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE(RN)
Contact information
Practice address
2304 PAGODA OAK DR, PLANO, TX 75074-3153
(571) 502-0798
Mailing address
2304 PAGODA OAK DR, PLANO, TX 75074-3153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
919504
TX
Other
Enumeration date
02/19/2018
Last updated
03/17/2018
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