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Individual

JULIANNE DIANA KNEZOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
907 GEORGIANA ST, PORT ANGELES, WA 98362-3911
(360) 565-0550
(360) 565-0551
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0550
(360) 565-0551

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA004719
PA
363A00000X
Physician Assistant
Primary
PA61464736
WA

Other

Enumeration date
10/23/2018
Last updated
02/01/2024
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