Individual
JULIA MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 N 18TH ST APT 4, SAINT HELENS, OR 97051-1762
(503) 396-2788
Mailing address
255 N 18TH ST APT 4, SAINT HELENS, OR 97051-1762
(503) 396-2788
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
993550
OR
Other
Enumeration date
11/30/2013
Last updated
08/18/2016
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