Individual
CARLA JUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 FOREST BROOK LN, BRENTON, WV 24818-8096
(304) 207-1344
Mailing address
240 FOREST BROOK LN, BRENTON, WV 24818-8096
(304) 207-1344
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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