Ailee Marie Justo
Ailee Marie Justo is a Body Imaging Physician in Pocatello, Idaho. Licensed in Utah. Registered with an NPI since 2024.
- Licensed in
- UT
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
921 S 8th Ave Stop 8253Pocatello, ID 83209-0002
Phone: (208) 282-4726
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Body Imaging Physician | Taxonomy 2085B0100X · Licence 11885253-5402 (UT) |
Record details
| NPI number | 1083453187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2024 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |