Individual
REGINA BROOKS JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
310 MURPHY DR, LEXINGTON, NC 27295-2100
(336) 224-1919
Mailing address
310 MURPHY DR, LEXINGTON, NC 27295-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
90225
NC
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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