Individual
JULIA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6050 W HIGHWAY 74, INDIAN TRAIL, NC 28079-3591
(704) 863-4878
Mailing address
5708 SUSTAR DR, MONROE, NC 28110-8141
(703) 835-6880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3708
SC
Other
Enumeration date
09/27/2020
Last updated
12/05/2024
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