Individual
JULIANNE ELIZABETH ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17465 NORTON AVE, LAKEWOOD, OH 44107-2214
(412) 770-5653
Mailing address
17465 NORTON AVE, LAKEWOOD, OH 44107-2214
(412) 770-5653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
10/06/2021
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