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Individual
MRS. JULIA NICOLE FETTERS
Active
Individual
MRS. JULIA NICOLE FETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13442
TX
363A00000X
Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13442
TEXAS MEDICAL BOARD
TX
Enumeration date
12/23/2019
Last updated
12/07/2024
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