Individual
DANIELLE LEE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
99999999
OH
171WH0202X
Home Modifications Contractor
—
—
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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