Individual
JULIA DAVIS VANDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1895
Mailing address
502 PERRY HWY, HARMONY, PA 16037-8622
(724) 602-8888
(724) 602-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008287
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/09/2017
Last updated
01/10/2024
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