Individual
JUSTIN EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 N MESA DR., MESA, AZ 85201
(480) 898-3333
Mailing address
706 W BROWN ST., APT. B, TEMPE, AZ 85281
(480) 262-1542
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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