Individual
KEISHIA JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
661 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1802
(252) 904-2581
(252) 557-3557
Mailing address
661 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1802
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C54057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00441264
—
NC
Enumeration date
10/20/2016
Last updated
09/30/2025
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