Individual
TAMMY JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OFFICE MANAGER
Contact information
Practice address
900 BRYAN ST, SUITE 5, HUNTINGDON, PA 16652-2413
(814) 643-6300
Mailing address
900 BRYAN ST, SUITE 5, HUNTINGDON, PA 16652-2413
(814) 643-6300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN097247L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740463470
—
PA
Enumeration date
07/26/2016
Last updated
04/26/2022
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