Doctor Name: | MRS. LETOSHA DENAE SAINTJUSTE |
NPI Number: | 1356701619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CERT. HAIR LOSS SPEC |
License Number: | C90827 |
Business Practice Address: | 412 Rossendale Dr Hope Mills, NC - 283487558 |
Business Phone Number: | 2544669458 |
Business Fax Number: | |
Mailing Address: | 412 Rossendale Dr, HOPE MILLS |
State: | NC |
Postal Code: | 283487558 |
Phone Number: | 2544669458 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2016 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | C90827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |