Individual
JUSTAUGHNA EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 VISTAGLENN DRIVE APT.1210, PLANO, TX 75074
(440) 317-1982
Mailing address
355 VISTAGLENN DRIVE APT.1210, PLANO, TX 75074
(440) 317-1982
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
82515
OH
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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