Justine Juchter
Mastectomy Fitter in Winston Salem, NC. Individual provider (NPI-1).
NPI number1922802255
StatusActive
Last updated in NPPESApr 3, 2025
Details
- NPI
- 1922802255
- Entity type
- Individual (NPI-1)
- Name
- Justine Juchter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2025
- Certification date
- Apr 3, 2025
- Last updated
- Apr 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224900000X | Mastectomy Fitter | CFm02421 | NC | Yes |
Practice location
4622 Country Club Rd Ste 100Winston Salem, NC 27104-3770
Phone 336-331-3480
Mailing address
4622 Country Club Rd Ste 100Winston Salem, NC 27104-3770
Phone 336-331-3480
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