NPI 1144668682
Carmen Laine Pustejovsky, AUD
Practice location
- Address
- 2200 Pool Rd 102, Grapevine, TX 76051-4266
- Phone
- (817) 488-1637
- Fax
- (817) 488-2854
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1144668682
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jun 2013
- Record last updated
- 6 Jun 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.