Individual
MELISSA JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 E 2ND AVE, WILLIAMSON, WV 25661-3602
(304) 236-5902
Mailing address
PO BOX 2080, WILLIAMSON, WV 25661-2080
(304) 236-5902
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
71052
WV
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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