Individual
JULIANE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5622
(877) 415-4116
(703) 335-9531
Mailing address
8100 ASHTON AVE, #200, MANASSAS, VA 20109-5622
(877) 415-4116
(703) 335-9531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005174
VA
363AM0700X
Medical Physician Assistant
0110005174
VA
363AS0400X
Surgical Physician Assistant
0110005174
VA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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