Individual
JULIE MARIE CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 WILDCAT DR, PORTLAND, TX 78374-2812
(833) 733-0009
Mailing address
PO BOX 644, PORTLAND, TX 78374-0644
(361) 633-7099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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