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NPI Code Detail

MEDICARE: JUSTINE TURNER

MEDICARE: JUSTINE TURNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse701549CA

General Provider Information

NPI Number : 1679034987
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTINE TURNER
Provider Business Mailing Address
First Line : 5421 LAKE MURRAY BLVD APT 15
Second Line :
City : LA MESA
State : CA
Zip : 91942-1554
Country : US
Telephone Number : 619-808-9488
Fax Number :
Provider Business Practice Location Address
First Line : 5421 LAKE MURRAY BLVD APT 15
Second Line :
City : LA MESA
State : CA
Zip : 91942-1554
Country : US
Telephone Number : 619-808-9488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 03/28/2019

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Directions to “ JUSTINE TURNER ” Practice Location

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