Individual
JULIE IMMONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
6314 CEDAR SPRINGS LN, HOSCHTON, GA 30548-4140
(414) 526-4755
Mailing address
6314 CEDAR SPRINGS LN, HOSCHTON, GA 30548-4140
(414) 526-4755
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
GA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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