Individual
JUSTINE CLARISSA CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
3322 MEMORIAL PKWY SW STE 524, HUNTSVILLE, AL 35801-5367
(256) 261-4066
Mailing address
504 FORREST CIR NE, HUNTSVILLE, AL 35811-1938
(256) 261-4066
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
AL
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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