Individual
JULIA WALLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32117-7214
(386) 259-6026
Mailing address
1595 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32117-7214
(386) 259-6026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119857
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/05/2024
Last updated
02/21/2025
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