Individual
JULIANA M PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7323 E 31ST CT N, WICHITA, KS 67226-2212
(316) 337-5873
(316) 337-5873
Mailing address
7323 E 31ST CT N, WICHITA, KS 67226-2212
(316) 337-5873
(316) 337-5873
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2018-42938
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201168050A
—
KS
Enumeration date
10/02/2017
Last updated
10/02/2017
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