Individual
JUSTINE JUCHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4622 COUNTRY CLUB RD STE 100, WINSTON SALEM, NC 27104-3770
(336) 331-3480
Mailing address
4622 COUNTRY CLUB RD STE 100, WINSTON SALEM, NC 27104-3770
(336) 331-3480
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM02421
NC
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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