Individual
ALAINA LUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 FAIRFAX DR APT 816, ARLINGTON, VA 22201-2399
(301) 529-2109
Mailing address
3601 FAIRFAX DR APT 816, ARLINGTON, VA 22201-2399
(301) 529-2109
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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