| NPI | 1396427795 |
|---|---|
| Former Name | LESIA LOUISE JUSTICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NC 6857) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SD 3364) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |